Lopez, Susan S
Lopez, Susan S is an individual health care provider with primary practice located at 8081 Township Line Rd Ste 203 , Indianapolis IN 46260-2189. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Lopez, Susan S can be contacted via phone (317) 415-8100.Contact Information
Primary practice address
8081 Township Line Rd Ste 203
Indianapolis IN 46260-2189
Phone: (317) 415-8100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002538A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 71002538A | Indiana |
Profile Details
NPI number | 1386818144 |
---|---|
LBN Legal business name | Lopez, Susan S |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2008 |
Last updated | Jul 19th, 2022 - 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 | 1386818144 | NPPES |
Indiana | MEDICAID | 200898610 |
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