Maisel, Susan K

Maisel, Susan K is an individual health care provider with primary practice located at 8402 Harcourt Rd Ste 402 , Indianapolis IN 46260-2053. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Maisel, Susan K can be contacted via phone (317) 338-9450.

Contact Information

Primary practice address
8402 Harcourt Rd Ste 402 Indianapolis IN 46260-2053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 01039425A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01039425A Indiana

Profile Details

NPI number 1508836669
LBN Legal business name Maisel, Susan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 27th, 2015 - about 9 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 1508836669 NPPES
Indiana MEDICAID 100218110

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