Sucharetza, Brian Scott
Sucharetza, Brian Scott is an sole proprietor health care provider with primary practice located at 515 Park Place Suite 200, Mishawaka IN 46545-3566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sucharetza, Brian Scott can be contacted via phone (574) 607-4724.Contact Information
Primary practice address
515 Park Place Suite 200
Mishawaka IN 46545-3566
Phone: (574) 607-4724
Fax: (574) 607-4725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01042730A | Indiana |
Profile Details
| NPI number | 1710987581 |
|---|---|
| LBN Legal business name | Sucharetza, Brian Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Mar 17th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710987581 | NPPES |
| Indiana | MEDICAID | 100462420A |
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