Hart-Cavallo, Susan R

Hart-Cavallo, Susan R is an sole proprietor health care provider with primary practice located at 720 Cedar St Suite 400, South Bend IN 46617-2060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hart-Cavallo, Susan R can be contacted via phone (574) 232-3327.

Contact Information

Primary practice address
720 Cedar St Suite 400 South Bend IN 46617-2060
Phone: (574) 232-3327
Fax: (574) 232-3369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01055451A Indiana

Profile Details

NPI number 1649261710
LBN Legal business name Hart-Cavallo, Susan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Nov 17th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649261710 NPPES
Indiana MEDICAID 200372550

Popular Providers