Provider Demographics
NPI:1710957865
Name:BRIGGS, KAREN SUE (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1467 JOLIET ST STE C
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-2073
Mailing Address - Country:US
Mailing Address - Phone:219-322-2723
Mailing Address - Fax:219-864-9707
Practice Address - Street 1:1467 JOLIET ST STE C
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-2073
Practice Address - Country:US
Practice Address - Phone:219-322-2723
Practice Address - Fax:219-864-9707
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2021-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN02001151207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100201760Medicaid
IN100201760Medicaid
INE40149Medicare UPIN