Avery, Susan H.
Avery, Susan H. is an individual health care provider with primary practice located at 401 15Th Ave S Suite 110 , Great Falls MT 59405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Avery, Susan H. can be contacted via phone (406) 727-0484.Contact Information
Primary practice address
401 15Th Ave S Suite 110
Great Falls MT 59405
Phone: (406) 727-0484
Fax: (406) 453-9504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 3884 | Montana |
Profile Details
| NPI number | 1437244845 |
|---|---|
| LBN Legal business name | Avery, Susan H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437244845 | NPPES |
| Montana | MEDICAID | 0047203 |
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