Croner, Susan Marie

Croner, Susan Marie is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Croner, Susan Marie can be contacted via phone (219) 865-0893.

Contact Information

Primary practice address
2150 Gettler St Ste 400 Dyer IN 46311-2385
Fax: (219) 865-3599
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001197A Indiana

Profile Details

NPI number 1235240854
LBN Legal business name Croner, Susan Marie
Credentials NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235240854 NPPES
Indiana MEDICAID 200515670
Indiana Other P00212275

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