Adams-Hayes, Susan M

Adams-Hayes, Susan M is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Suite 304, Fort Wayne IN 46804-4128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adams-Hayes, Susan M can be contacted via phone (260) 969-6200.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 304 Fort Wayne IN 46804-4128
Fax: (260) 969-6201
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001514A Indiana

Profile Details

NPI number 1043268212
LBN Legal business name Adams-Hayes, Susan M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 30th, 2014 - 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 1043268212 NPPES
Indiana MEDICAID 200416290

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