Mothkur, Sheila

Mothkur, Sheila is an sole proprietor health care provider with primary practice located at 1501 Wabash St Ste 101 , Michigan City IN 46360-4364. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mothkur, Sheila can be contacted via phone (219) 874-5333.

Contact Information

Primary practice address
1501 Wabash St Ste 101 Michigan City IN 46360-4364
Fax: (219) 874-0254
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01037546 Indiana

Profile Details

NPI number 1235228818
LBN Legal business name Mothkur, Sheila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 15th, 2009 - about 16 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 1235228818 NPPES
Indiana MEDICAID 200336540

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