Baskin, Susie Q.

Baskin, Susie Q. is an individual health care provider with primary practice located at 66 N. Pauline Street Suite 101, Memphis TN 38105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Baskin, Susie Q. can be contacted via phone (901) 448-6936.

Contact Information

Primary practice address
66 N. Pauline Street Suite 101 Memphis TN 38105
Phone: (901) 448-6936
Fax: (901) 448-7692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 6056 Tennessee

Profile Details

NPI number 1649449372
LBN Legal business name Baskin, Susie Q.
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Sep 21st, 2020 - about 4 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 1649449372 NPPES
Mississippi MEDICAID 02475341

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