Phillips, Susan K

Phillips, Susan K is an individual health care provider with primary practice located at 4001 Wabash Ave , Terre Haute IN 47803-1678. 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 / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Phillips, Susan K can be contacted via phone (812) 238-7788.

Contact Information

Primary practice address
4001 Wabash Ave Terre Haute IN 47803-1678
Phone: (812) 238-7788
Fax: (812) 238-4508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001696 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 28112100A Indiana

Profile Details

NPI number 1659362085
LBN Legal business name Phillips, Susan K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 24th, 2016 - about 8 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 1659362085 NPPES
Indiana MEDICAID 200520070
Indiana Other P00431348

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