Bussard, Katie M

Bussard, Katie M is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Bussard, Katie M can be contacted via phone (317) 962-2000.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 962-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28150966A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71003317A Indiana

Profile Details

NPI number 1225359193
LBN Legal business name Bussard, Katie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Aug 30th, 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 1225359193 NPPES
Indiana Other 264430F53 MEDICARE PTAN
Indiana Other 267030053 MEDICARE PTAN
Indiana MEDICAID 201098700 MEDICARE PTAN

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