Harris, Susan M
Harris, Susan M is an individual health care provider with primary practice located at 8202 Clearvista Pkwy Suite 7A, Indianapolis IN 46256-1445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harris, Susan M can be contacted via phone (317) 621-6300.Contact Information
Primary practice address
8202 Clearvista Pkwy Suite 7A
Indianapolis IN 46256-1445
Phone: (317) 621-6300
Fax: (317) 621-6310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71000009A | Indiana |
Profile Details
| NPI number | 1508826207 |
|---|---|
| LBN Legal business name | Harris, Susan M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Nov 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508826207 | NPPES |
| Indiana | Other | 000000655113 | ANTHEM |
| Indiana | Other | 000000659326 | ANTHEM |
| Indiana | Other | 000000655709 | ANTHEM |
| Indiana | Other | 000000667919 | ANTHEM |
| Indiana | MEDICAID | 200963890 | ANTHEM |
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