Ashley Detzner Ellenberger, MD is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ashley Detzner Ellenberger, MD NPI is 1417584418. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
550 UNIVERSITY BLVD RM 641
INDIANAPOLIS, IN
ZIP 46202-149
Phone: (317) 944-1816
Fax: (317) 948-2803
The NPI 1417584418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2020 and was last updated on 6/8/2021.