Holec-Iwasko, Susan Marie
Holec-Iwasko, Susan Marie is an sole proprietor health care provider with primary practice located at 11100 Usa Pkwy Ste A100 , Fishers IN 46037-9255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Holec-Iwasko, Susan Marie can be contacted via phone (317) 678-3850.Contact Information
Primary practice address
11100 Usa Pkwy Ste A100
Fishers IN 46037-9255
Phone: (317) 678-3850
Fax: (317) 968-1142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0200 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02001359A | Indiana |
Profile Details
| NPI number | 1356488928 |
|---|---|
| LBN Legal business name | Holec-Iwasko, Susan Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Oct 3rd, 2023 - about 2 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 | 1356488928 | NPPES |
| Indiana | Other | 000000173793 | ANTHEM PIN |
| Indiana | Other | 264430H57 | ANTHEM PIN |
| Indiana | Other | 4299039 | ANTHEM PIN |
| Indiana | MEDICAID | 100218910 | ANTHEM PIN |
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