Healthcare Provider Details

I. General information

NPI: 1780491100
Provider Name (Legal Business Name): MARGARET SZUCS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N MICHIGAN ST
SOUTH BEND IN
46601-1087
US

IV. Provider business mailing address

19085 OAKMONT NORTH DR
SOUTH BEND IN
46637-3523
US

V. Phone/Fax

Practice location:
  • Phone: 574-647-1892
  • Fax:
Mailing address:
  • Phone: 574-612-1378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28167364A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: