Quirk, Marilou T

Quirk, Marilou T is an individual health care provider with primary practice located at 6000 W County Road 400 N , Muncie IN 47304-9057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Quirk, Marilou T can be contacted via phone (765) 289-9709.

Contact Information

Primary practice address
6000 W County Road 400 N Muncie IN 47304-9057
Phone: (765) 289-9709
Fax: (765) 964-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001754A Indiana

Profile Details

NPI number 1770565608
LBN Legal business name Quirk, Marilou T
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 9th, 2007 - about 18 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 1770565608 NPPES
Indiana Other 000000351540 BC/BS
Indiana MEDICAID 200494420A BC/BS

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