Smierciak, Suzette M

Smierciak, Suzette M is an individual health care provider with primary practice located at 901 Macarthur Blvd Attn Anesthesia, Munster IN 46321-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smierciak, Suzette M can be contacted via phone (219) 836-7040.

Contact Information

Primary practice address
901 Macarthur Blvd Attn Anesthesia Munster IN 46321-2901
Phone: (219) 836-7040
Fax: (219) 513-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28161346A Indiana

Profile Details

NPI number 1578719126
LBN Legal business name Smierciak, Suzette M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated May 19th, 2010 - about 14 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 1578719126 NPPES
Indiana Other 000000578943 ANTHEM BCBS
Indiana MEDICAID 200925180 ANTHEM BCBS
Indiana Other P00659845 ANTHEM BCBS
Indiana Other 9966194 ANTHEM BCBS

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