Mrs Sue E Mohlke, BSN, RN, CSA - Specialist/Technologist, Other in La Porte, IN

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Mrs Sue E Mohlke, BSN, RN, CSA is a Specialist/technologist, Other - Surgical Assistant based in La Porte, Indiana. Mrs Sue E Mohlke is licensed to practice in Indiana (license number 2989) and her current practice location is 1300 State St Ste 2c, La Porte, Indiana. She can be reached at her office (for appointments etc.) via phone at (219) 325-0152.

NPI number for Mrs Sue E Mohlke is 1801938469 and her current mailing address is 1300 State St Ste 2c, La Porte, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801938469.

Contact Information

Mrs Sue E Mohlke, BSN, RN, CSA
1300 State St Ste 2c,
La Porte, IN 46350-3134
(219) 325-0152
(219) 325-8621

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Provider's Profile

Full NameMrs Sue E Mohlke
GenderFemale
SpecialitySpecialist/technologist, Other - Surgical Assistant
Location1300 State St Ste 2c, La Porte, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801938469
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 12/09/2008

Medical Identifiers

Medical identifiers for Mrs Sue E Mohlke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801938469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 28081333A (Indiana)Secondary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 2989 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sue E Mohlke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Sue E Mohlke, BSN, RN, CSA
1300 State St Ste 2c,
La Porte, IN 46350-3134

Ph: (219) 325-0152		Mrs Sue E Mohlke, BSN, RN, CSA
1300 State St Ste 2c,
La Porte, IN 46350-3134

Ph: (219) 325-0152

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