Organization
INDYSTATHEALTHEDU, LLC
Active
Parent organization
INDYSTATHEALTHEDU, LLC
Other names
IndyStatHealth, IndyStatHealth Care Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDYSTATHEALTHEDU, LLC
Authorized official
JERUSHA KETURAH SEUNG APRN, FNP-C, WCC (MEDICAL DIRECTOR AND DIRECTOR OF ED)
(317) 260-9333
Entity
Organization
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 260-9333
Mailing address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 260-9333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
08/20/2020
Last updated
04/26/2024
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