Modansky, Anna R
Modansky, Anna R is an individual health care provider with primary practice located at 701 E County Line Rd Ste 101 , Greenwood IN 46143-1070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Modansky, Anna R can be contacted via phone (317) 885-2860.Contact Information
Primary practice address
701 E County Line Rd Ste 101
Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001279 | Indiana |
Profile Details
| NPI number | 1841585254 |
|---|---|
| LBN Legal business name | Modansky, Anna R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Jul 24th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841585254 | NPPES |
| Indiana | MEDICAID | 300007541 |
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