Bader, Susan Jean

Bader, Susan Jean is an individual health care provider with primary practice located at 2850 N 24Th St , Phoenix AZ 85008-1004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Bader, Susan Jean can be contacted via phone (602) 266-5976.

Contact Information

Primary practice address
2850 N 24Th St Phoenix AZ 85008-1004
Phone: (602) 266-5976
Fax: (602) 274-8952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 99392 Colorado
Nursing Service Providers / Pediatrics 163WP0200X RN170031 Arizona

Profile Details

NPI number 1750407383
LBN Legal business name Bader, Susan Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 25th, 2013 - about 12 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 1750407383 NPPES
Arizona MEDICAID 042127
Arizona Other 99392
Arizona MEDICAID 936560

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