Stolz, Susan D

Stolz, Susan D is an individual health care provider with primary practice located at 1200 S Rogers St , Bloomington IN 47403-4792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stolz, Susan D can be contacted via phone (812) 339-6434.

Contact Information

Primary practice address
1200 S Rogers St Bloomington IN 47403-4792
Phone: (812) 339-6434
Fax: (812) 331-0196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000073A Indiana

Profile Details

NPI number 1104821271
LBN Legal business name Stolz, Susan D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 9th, 2021 - about 3 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 1104821271 NPPES
Indiana MEDICAID 300012943

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