Anderson, Suzette
Anderson, Suzette is an sole proprietor health care provider with primary practice located at Dr. Shafquat Meraj Mdpa 1015 Prince Frederick Blvd., Prince Frederick MD 20678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Anderson, Suzette can be contacted via phone (410) 535-4116.Contact Information
Primary practice address
Dr. Shafquat Meraj Mdpa 1015 Prince Frederick Blvd.
Prince Frederick MD 20678
Phone: (410) 535-4116
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R148987 | Maryland |
Profile Details
NPI number | 1386258929 |
---|---|
LBN Legal business name | Anderson, Suzette |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 1st, 2020 |
Last updated | Jan 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386258929 | NPPES |
Maryland | Other | 1386258929 | UROLOGY |
Maryland | MEDICAID | 184189100 | UROLOGY |
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