ERIC ROBERT BLICKENSDERFER

INDIANAPOLIS, IN
NPI1750102083
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-19
Last Update Date2024-10-19
Business Address
Mr. ERIC ROBERT BLICKENSDERFER
1160 W MICHIGAN ST STE 100
INDIANAPOLIS, IN 46202-5209
Phone number: 574-855-0139
Mailing Address
Mr. ERIC ROBERT BLICKENSDERFER
9373 BENCHMARK DR APT F
INDIANAPOLIS, IN 46240-4209
Phone number: 574-855-0139