Egan, Katherine Blaire
Egan, Katherine Blaire is an individual health care provider with primary practice located at 545 Barnhill Drive, Emerson Hall 232 Iu School Of Medicine, Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Egan, Katherine Blaire can be contacted via phone (317) 278-0394.Contact Information
Primary practice address
545 Barnhill Drive, Emerson Hall 232 Iu School Of Medicine
Indianapolis IN 46202
Phone: (317) 278-0394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 01091179A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11019435A | 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 | Sep 26th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790205706 | NPPES |
| Indiana | MEDICAID | 300068731 |
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