Suozzi, Brent A
Suozzi, Brent A is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 400 , Indianapolis IN 46237-8633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Suozzi, Brent A can be contacted via phone (317) 790-3355.Contact Information
Primary practice address
8051 S Emerson Ave Ste 400
Indianapolis IN 46237-8633
Phone: (317) 790-3355
Fax: (317) 790-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01072583A | Indiana |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 01072583A | Indiana |
Profile Details
| NPI number | 1093966269 |
|---|---|
| LBN Legal business name | Suozzi, Brent A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2008 |
| Last updated | May 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093966269 | NPPES |
| Indiana | Other | 01072583A | LICENSE |
| Indiana | MEDICAID | 201190860 | LICENSE |
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