Koslow, Susan Audrey
Koslow, Susan Audrey is an individual health care provider with primary practice located at 477 E Trailwood Dr , Terre Haute IN 47802-9606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Koslow, Susan Audrey can be contacted via phone (812) 234-4243.Contact Information
Primary practice address
477 E Trailwood Dr
Terre Haute IN 47802-9606
Phone: (812) 234-4243
Fax: (812) 478-3663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01042883A | Indiana |
Profile Details
| NPI number | 1720007933 |
|---|---|
| LBN Legal business name | Koslow, Susan Audrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 17th, 2014 - about 11 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 | 1720007933 | NPPES |
| Indiana | MEDICAID | 100462130A |
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