Egan, Katherine Blaire

Egan, Katherine Blaire is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 120 , Indianapolis IN 46219-3045. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Egan, Katherine Blaire can be contacted via phone (317) 355-1000.

Contact Information

Primary practice address
1400 N Ritter Ave Ste 120 Indianapolis IN 46219-3045
Phone: (317) 355-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11019435A Indiana
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01091179A Indiana

Profile Details

NPI number 1790205706
LBN Legal business name Egan, Katherine Blaire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Oct 24th, 2023 - about 3 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 1790205706 NPPES
Indiana MEDICAID 300068731

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