Averitt, Susan M

Averitt, Susan M is an individual health care provider with primary practice located at 5501 Willow Creek Dr. Ste 203 , Springdale AR 72762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Averitt, Susan M can be contacted via phone (479) 575-9359.

Contact Information

Primary practice address
5501 Willow Creek Dr. Ste 203 Springdale AR 72762
Phone: (479) 575-9359
Fax: (479) 575-9415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23620 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2459 Arkansas

Profile Details

NPI number 1356304091
LBN Legal business name Averitt, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356304091 NPPES
Oklahoma Other 1324230001 PALMETTO DME
Oklahoma MEDICAID 1356304091 PALMETTO DME
Oklahoma Other 74502A050 PALMETTO DME
Oklahoma Other H14901 PALMETTO DME
Oklahoma MEDICAID 200016780A PALMETTO DME
Oklahoma Other 731310891028 PALMETTO DME
Oklahoma Other 200016780A PALMETTO DME
Oklahoma MEDICAID 140067001 PALMETTO DME

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