Taccheri, Susan

Taccheri, Susan is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Taccheri, Susan can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
2600 Oakland Ave Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01054417A Indiana
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 01054417A Indiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01054417A Indiana

Profile Details

NPI number 1073546362
LBN Legal business name Taccheri, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 9th, 2011 - about 13 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 1073546362 NPPES
Indiana Other 000000202132 ANTHEM
Indiana MEDICAID 200344390 ANTHEM
Indiana Other P00184998 ANTHEM

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