Hanzely, Michelle A

Hanzely, Michelle A is an individual health care provider with primary practice located at 9240 N Meridian St Ste 160 , Indianapolis IN 46260-1827. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hanzely, Michelle A can be contacted via phone (317) 574-2286.

Contact Information

Primary practice address
9240 N Meridian St Ste 160 Indianapolis IN 46260-1827
Phone: (317) 574-2286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001934 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001772A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001772A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001772B Indiana

Profile Details

NPI number 1811192362
LBN Legal business name Hanzely, Michelle A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Oct 4th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811192362 NPPES
Illinois MEDICAID 085001934

Popular Providers