St John, Audra Marie
St John, Audra Marie is an individual health care provider with primary practice located at 575 Riley Hospital Dr , Indianapolis IN 46202-5272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. St John, Audra Marie can be contacted via phone (317) 944-3774.Contact Information
Primary practice address
575 Riley Hospital Dr
Indianapolis IN 46202-5272
Phone: (317) 944-3774
Fax: (317) 944-8521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 01089400A | Indiana |
Profile Details
| NPI number | 1144859950 |
|---|---|
| LBN Legal business name | St John, Audra Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2020 |
| Last updated | Aug 21st, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144859950 | NPPES |
| Indiana | MEDICAID | 300119188 |
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