Caldecott-Johnson, Susan

Caldecott-Johnson, Susan is an individual health care provider with primary practice located at 7120 Clearvista Dr Suite 5300, Indianapolis IN 46256-1621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Caldecott-Johnson, Susan can be contacted via phone (317) 621-0104.

Contact Information

Primary practice address
7120 Clearvista Dr Suite 5300 Indianapolis IN 46256-1621
Phone: (317) 621-0104
Fax: (317) 621-0111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X TEMPORARY Texas
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 01043182A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01043182A Indiana

Profile Details

NPI number 1902999055
LBN Legal business name Caldecott-Johnson, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 13th, 2014 - about 11 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 1902999055 NPPES
Indiana Other 000000661927 ANTHEM
Indiana MEDICAID 200014600 ANTHEM

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