Riley, Marilyn J.

Riley, Marilyn J. is an individual health care provider with primary practice located at 1701 N Senate Ave 3007, Indianapolis IN 46202-5306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Riley, Marilyn J. can be contacted via phone (317) 962-5097.

Contact Information

Primary practice address
1701 N Senate Ave 3007 Indianapolis IN 46202-5306
Phone: (317) 962-5097
Fax: (317) 962-5018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000828A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000828A Indiana

Profile Details

NPI number 1316928112
LBN Legal business name Riley, Marilyn J.
Credentials PHD, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 17th, 2018 - about 8 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 1316928112 NPPES
Indiana Other 000001126642 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200843250 ANTHEM PROVIDER NUMBER

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