Moore, Suzann

Moore, Suzann is an individual health care provider with primary practice located at 355 W 16Th St Suite 5100, Indianapolis IN 46202-2207. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Technologist is her primary health care specialty. Moore, Suzann can be contacted via phone (317) 393-1300.

Contact Information

Primary practice address
355 W 16Th St Suite 5100 Indianapolis IN 46202-2207
Phone: (317) 393-1300
Fax: (317) 924-8472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 83030 Indiana

Profile Details

NPI number 1265443402
LBN Legal business name Moore, Suzann
Credentials CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 6th, 2019 - about 6 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 1265443402 NPPES
Indiana Other 83030 CST/CFA
Indiana Other 000000592199 CST/CFA

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