Asibal, Susan L.

Asibal, Susan L. is an individual health care provider with primary practice located at 800 East Carpenter Street Room 2K64, Springfield IL 62769-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Asibal, Susan L. can be contacted via phone (217) 525-5643.

Contact Information

Primary practice address
800 East Carpenter Street Room 2K64 Springfield IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0041160870 Illinois

Profile Details

NPI number 1689662652
LBN Legal business name Asibal, Susan L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689662652 NPPES
Illinois Other 34857 AANA#
Illinois Other 0041160870 AANA#
Illinois Other 064169 AANA#
Illinois Other 0841504038 AANA#

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