Bollman, Susan Marie

Bollman, Susan Marie is an individual health care provider with primary practice located at 1002 Wishard Blvd , Indianapolis IN 46202-2872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bollman, Susan Marie can be contacted via phone (317) 944-4846.

Contact Information

Primary practice address
1002 Wishard Blvd Indianapolis IN 46202-2872
Phone: (317) 944-4846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71009390A Indiana

Profile Details

NPI number 1992354104
LBN Legal business name Bollman, Susan Marie
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Oct 11th, 2019 - about 6 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 1992354104 NPPES
Indiana MEDICAID 300030679

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