Search › Indiana › 363A00000X
Stephanie Hautsch, PA-C
NPI 1629668215 · on the registry since 2021 · sole proprietor
Practice
- Address
- 550 S Landmark Ave
Bloomington, IN 47403 - Phone
- (812) 355-6900
- Fax
- (812) 355-6912
- Organisation at this address
- Ima, Inc.
Ima Inc Laboratory
Premier Healthcare Llc
Bloomington Endoscopy Center, Llc
Indiana University Health Southern Indiana Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 109
Additional practice sites
- 2087 Acorn Blvd, Franklin, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana