Sharifi, Susan Corrine

Sharifi, Susan Corrine is an individual health care provider with primary practice located at 1739 N 4Th St , Terre Haute IN 47804-4002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Sharifi, Susan Corrine can be contacted via phone (812) 242-3125.

Contact Information

Primary practice address
1739 N 4Th St Terre Haute IN 47804-4002
Phone: (812) 242-3125
Fax: (812) 242-3446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01043795A Indiana

Profile Details

NPI number 1790896769
LBN Legal business name Sharifi, Susan Corrine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 18th, 2010 - 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 1790896769 NPPES
Indiana MEDICAID 200036030A
Indiana Other P00834680
Indiana Other 000000089650
Indiana MEDICAID 200036030
Indiana MEDICAID 200036030S
Indiana Other 130013869

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