Ivkovich, Suzanne

Ivkovich, Suzanne is an individual health care provider with primary practice located at 3401 E Raymond St , Indianapolis IN 46203-4744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ivkovich, Suzanne can be contacted via phone (317) 788-9769.

Contact Information

Primary practice address
3401 E Raymond St Indianapolis IN 46203-4744
Phone: (317) 788-9769
Fax: (317) 781-4868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001709A Indiana

Profile Details

NPI number 1568452795
LBN Legal business name Ivkovich, Suzanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Apr 20th, 2011 - about 15 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 1568452795 NPPES
Indiana MEDICAID 200461810

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