Organization
LIBERTY TOWNSHIP TRUSTEE
Active
Other names
Sue A Dittmar
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DITTMAR (TRUSTEE)
(574) 656-4587
Entity
Organization
Contact information
Practice address
305 S. STATE STREET, NORTH LIBERTY, IN 46554-7728
(574) 656-4587
(574) 656-4580
Mailing address
PO BOX 729, NORTH LIBERTY, IN 46554-0729
(574) 656-4587
(574) 656-4580
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0187
IN
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100282130A
—
IN
05
—
201058350A
—
IN
Enumeration date
01/16/2008
Last updated
04/17/2026
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