Susan Koslow M.D.,Inc

LBN: Susan Koslow M.D.,Inc
Susan Koslow M.D.,Inc is an health care organization with primary practice located at 477 E Trailwood Dr , Terre Haute IN 47802-9606. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Susan Koslow M.D.,Inc can be contacted via phone (812) 234-4243, or through Doan, Kris via phone (812) 234-4243.

Contact Information

Primary practice address
477 E Trailwood Dr Terre Haute IN 47802-9606
Phone: (812) 234-4243
Fax: (812) 478-3663
Website:
Map and Directions
Authorized official contact:
Name: Doan, Kris
Phone: (812) 234-4243

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 01042883A Indiana

Profile Details

NPI number 1497028989
LBN Legal business name Susan Koslow M.D.,Inc
DBA Doing business as
Authorized official Doan, Kris
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Dec 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497028989 NPPES
Indiana MEDICAID 100462130A
Indiana Other M100067995

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