Koons, Abby L

Koons, Abby L is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koons, Abby L can be contacted via phone (765) 281-2030.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 281-2030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001691A Indiana

Profile Details

NPI number 1558352682
LBN Legal business name Koons, Abby L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 14th, 2021 - about 3 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 1558352682 NPPES
Indiana MEDICAID 200944940
Indiana Other P01014256

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