Berry, Katelin Sullivan

Berry, Katelin Sullivan is an individual health care provider with primary practice located at 8433 Harcourt Rd Ste 100 , Indianapolis IN 46260-2193. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Berry, Katelin Sullivan can be contacted via phone (317) 583-7600.

Contact Information

Primary practice address
8433 Harcourt Rd Ste 100 Indianapolis IN 46260-2193
Phone: (317) 583-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001211A Indiana

Profile Details

NPI number 1720396435
LBN Legal business name Berry, Katelin Sullivan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2010
Last updated Jul 6th, 2023 - about 2 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 1720396435 NPPES
Indiana Other 000000682458 ANTHEM

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