Ault, Susan Eliane

Ault, Susan Eliane is an sole proprietor health care provider with primary practice located at 707 N Armstrong Pl , Boise ID 83704-0825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ault, Susan Eliane can be contacted via phone (208) 327-8626.

Contact Information

Primary practice address
707 N Armstrong Pl Boise ID 83704-0825
Phone: (208) 327-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP-173A Idaho

Profile Details

NPI number 1528271103
LBN Legal business name Ault, Susan Eliane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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