Moffitt, Suzett

Moffitt, Suzett is an sole proprietor health care provider with primary practice located at 2401 N Tibbs Ave , Indianapolis IN 46222-2457. She recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Moffitt, Suzett can be contacted via phone (317) 755-7664.

Contact Information

Primary practice address
2401 N Tibbs Ave Indianapolis IN 46222-2457
Phone: (317) 755-7664
Fax: (317) 955-7567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 14-013067-1 Indiana
Agencies / In Home Supportive Care 253Z00000X 14-013067-1 Indiana

Profile Details

NPI number 1295147718
LBN Legal business name Moffitt, Suzett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2014
Last updated Feb 20th, 2020 - 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 1295147718 NPPES
Indiana Other 14-013067-1 INDIANA STATE DEPARTMENT OF HEALTH
Indiana Other 201172830A INDIANA STATE DEPARTMENT OF HEALTH
Indiana Other A0H1301OSSTKEAN INDIANA STATE DEPARTMENT OF HEALTH
Indiana Other 829814297 INDIANA STATE DEPARTMENT OF HEALTH
Indiana Other 76110000 INDIANA STATE DEPARTMENT OF HEALTH

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