Fay, Susan Anne
Fay, Susan Anne is an sole proprietor health care provider with primary practice located at 8710 N Meridian St Ste 100C, Indianapolis IN 46260-5389. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Fay, Susan Anne can be contacted via phone (317) 663-7302.Contact Information
Primary practice address
8710 N Meridian St Ste 100C
Indianapolis IN 46260-5389
Phone: (317) 663-7302
Fax: (317) 735-9638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34003872 | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71001242A | Indiana |
Profile Details
| NPI number | 1205888146 |
|---|---|
| LBN Legal business name | Fay, Susan Anne |
| Credentials | RN MSN MSW LCSW CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205888146 | NPPES |
| Other | 000000212827 | BCBS | |
| Other | 000000282033 | BCBS |
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