Rouse, Mary D
Rouse, Mary D is an individual health care provider with primary practice located at 6640 Intech Blvd Suite 195, Indianapolis IN 46278-2011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Rouse, Mary D can be contacted via phone (317) 295-0608.Contact Information
Primary practice address
6640 Intech Blvd Suite 195
Indianapolis IN 46278-2011
Phone: (317) 295-0608
Fax: (317) 295-0622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 01040728 | Indiana |
Profile Details
| NPI number | 1578509345 |
|---|---|
| LBN Legal business name | Rouse, Mary D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 1st, 2014 - about 11 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 | 1578509345 | NPPES |
| Indiana | MEDICAID | 100357530 |
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