Erdmann, Susan Westfall

Erdmann, Susan Westfall is an individual health care provider with primary practice located at 1751 E Bristol St , Elkhart IN 46514-3968. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Erdmann, Susan Westfall can be contacted via phone (574) 264-5001.

Contact Information

Primary practice address
1751 E Bristol St Elkhart IN 46514-3968
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001767A&B Indiana

Profile Details

NPI number 1750421624
LBN Legal business name Erdmann, Susan Westfall
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Feb 22nd, 2008 - about 16 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 1750421624 NPPES
Indiana Other 22000000198935 BLUE CROSS/BLUE SHIELD

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