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Contact Information

LAURA J BRISTER
1101 N JIM DAY RD
SALEM, IN47167-5200
 Phone: 812-650-7215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LAURA J BRISTER · (Female)

NPI Number 1447722053
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2018
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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