Zakusilov, Sylvia Joy

Zakusilov, Sylvia Joy is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Zakusilov, Sylvia Joy can be contacted via phone (574) 523-3160.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 523-3160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28164101A Indiana

Profile Details

NPI number 1174838684
LBN Legal business name Zakusilov, Sylvia Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174838684 NPPES
Indiana Other 000000672495 ANTHEM
Indiana MEDICAID 200994950 ANTHEM

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