Perry, Nicole Suzette

Perry, Nicole Suzette is an individual health care provider with primary practice located at 100 Town Center Rd S Ste B, Mooresville IN 46158-2321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Perry, Nicole Suzette can be contacted via phone (317) 497-2300.

Contact Information

Primary practice address
100 Town Center Rd S Ste B Mooresville IN 46158-2321
Phone: (317) 497-2300
Fax: (317) 497-2502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01040509A Indiana

Profile Details

NPI number 1801899901
LBN Legal business name Perry, Nicole Suzette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801899901 NPPES
Indiana Other 000000283023 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200130700 ANTHEM PROVIDER NUMBER
Indiana Other P01018478 ANTHEM PROVIDER NUMBER

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