Fettig, Patricia R

Fettig, Patricia R is an individual health care provider with primary practice located at 10731 N State Road 13 , Elwood IN 46036-8874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fettig, Patricia R can be contacted via phone (765) 552-5009.

Contact Information

Primary practice address
10731 N State Road 13 Elwood IN 46036-8874
Phone: (765) 552-5009
Fax: (765) 552-8347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002768A Indiana

Profile Details

NPI number 1760633267
LBN Legal business name Fettig, Patricia R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Jan 31st, 2017 - about 7 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 1760633267 NPPES
Indiana Other 000000802585 ANTHEM
Indiana MEDICAID 201006170 ANTHEM

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