Spieth, Patricia

Spieth, Patricia is an individual health care provider with primary practice located at 445 S Landmark Ave , Bloomington IN 47403-5004. 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. Spieth, Patricia can be contacted via phone (812) 353-3450.

Contact Information

Primary practice address
445 S Landmark Ave Bloomington IN 47403-5004
Phone: (812) 353-3450
Fax: (812) 353-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001705 Indiana

Profile Details

NPI number 1962422188
LBN Legal business name Spieth, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962422188 NPPES
Indiana MEDICAID 200366170

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