Mitchell, Susan T

Mitchell, Susan T is an individual health care provider with primary practice located at 2020 Meridian St Ste 220 , Anderson IN 46016-4338. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mitchell, Susan T can be contacted via phone (765) 683-3280.

Contact Information

Primary practice address
2020 Meridian St Ste 220 Anderson IN 46016-4338
Phone: (765) 683-3280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036117849 Illinois
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 036117849 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01086121A Indiana

Profile Details

NPI number 1356468656
LBN Legal business name Mitchell, Susan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 6th, 2021 - about 4 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 1356468656 NPPES
Idaho Other P00447359 RAILROAD MEDICARE
Idaho MEDICAID 036117849 RAILROAD MEDICARE

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