Ault, Susan Rae

Ault, Susan Rae is an sole proprietor health care provider with primary practice located at 2830 East St , Anderson CA 96007-3408. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ault, Susan Rae can be contacted via phone (530) 365-2545.

Contact Information

Primary practice address
2830 East St Anderson CA 96007-3408
Phone: (530) 365-2545
Fax: (530) 365-3871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 083045668RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200450018NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 200570025CNS Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14768 California

Profile Details

NPI number 1790777100
LBN Legal business name Ault, Susan Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated May 31st, 2016 - about 8 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 1790777100 NPPES
Oregon MEDICAID 278215
Oregon Other 1407812365
Oregon Other R0000WFBTV

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