Ballou, Susan Clayton
Ballou, Susan Clayton is an sole proprietor health care provider with primary practice located at 3 Hillcrest Park Rd , Old Greenwich CT 06870-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ballou, Susan Clayton can be contacted via phone (203) 202-7532.Contact Information
Primary practice address
3 Hillcrest Park Rd
Old Greenwich CT 06870-1003
Phone: (203) 202-7532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 004268 | Connecticut |
Profile Details
| NPI number | 1588947170 |
|---|---|
| LBN Legal business name | Ballou, Susan Clayton |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2011 |
| Last updated | Sep 21st, 2011 - about 15 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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