Sraders, Mariss L

Sraders, Mariss L is an individual health care provider with primary practice located at 1400 N Ritter Ave Suite 510, Indianapolis IN 46219-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sraders, Mariss L can be contacted via phone (317) 355-2050.

Contact Information

Primary practice address
1400 N Ritter Ave Suite 510 Indianapolis IN 46219-3052
Phone: (317) 355-2050
Fax: (317) 355-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01048743A Indiana

Profile Details

NPI number 1083673859
LBN Legal business name Sraders, Mariss L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 27th, 2023 - about 2 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 1083673859 NPPES
Indiana MEDICAID 200519540A
Indiana Other 0000000764780
Indiana Other P01115570
Indiana MEDICAID 200200940

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