Suarez, Jeannine R
Suarez, Jeannine R is an sole proprietor health care provider with primary practice located at 8450 Northwest Blvd , Indianapolis IN 46278-1381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Suarez, Jeannine R can be contacted via phone (317) 802-2000.Contact Information
Primary practice address
8450 Northwest Blvd
Indianapolis IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000820A | Indiana |
Profile Details
| NPI number | 1215905757 |
|---|---|
| LBN Legal business name | Suarez, Jeannine R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | May 10th, 2024 - about 4 months 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 | 1215905757 | NPPES |
| Indiana | MEDICAID | 201239480 |
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