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Contact Information

SUSAN TACCHERI, MD
2600 OAKLAND AVE
ELKHART, IN46517-1533
 Phone: 574-533-1234
 Fax: 574-537-2652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SUSAN TACCHERI · (Female)

NPI # 1073546362
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2006
Last updated 08/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01054417A
  • IN Medicaid 200344390
  • Other P00184998 RAILROAD MEDICARE PIN
  • IN Other 000000202132 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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