Shick, Mary Susan

Shick, Mary Susan is an individual health care provider with primary practice located at 421 W 1St St , Bloomington IN 47403-2403. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Shick, Mary Susan can be contacted via phone (812) 336-0168.

Contact Information

Primary practice address
421 W 1St St Bloomington IN 47403-2403
Phone: (812) 336-0168
Fax: (812) 335-7372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 28090755A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000080A Indiana

Profile Details

NPI number 1992733240
LBN Legal business name Shick, Mary Susan
Credentials MSN, ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992733240 NPPES
Indiana MEDICAID 200076820A

Popular Providers