Anderson, Sue Ann
Anderson, Sue Ann is an individual health care provider with primary practice located at 209 Florence Ave , Granger IN 46530-8048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Sue Ann can be contacted via phone (574) 246-1000.Contact Information
Primary practice address
209 Florence Ave
Granger IN 46530-8048
Phone: (574) 246-1000
Fax: (574) 246-4000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000394A | Indiana |
Profile Details
| NPI number | 1265507750 |
|---|---|
| LBN Legal business name | Anderson, Sue Ann |
| Credentials | MS,APRN, BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Apr 8th, 2015 - about 9 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 | 1265507750 | NPPES |
| Indiana | MEDICAID | 200217280 |
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