Bassett, Susan Pomeroy
Bassett, Susan Pomeroy is an individual health care provider with primary practice located at 1200 N Beaver St Audiology Department, Flagstaff AZ 86001-3118. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bassett, Susan Pomeroy can be contacted via phone (928) 214-3728.Contact Information
Primary practice address
1200 N Beaver St Audiology Department
Flagstaff AZ 86001-3118
Phone: (928) 214-3728
Fax: (928) 773-2286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA1674 | Arizona |
Profile Details
| NPI number | 1003952565 |
|---|---|
| LBN Legal business name | Bassett, Susan Pomeroy |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| 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 | 1003952565 | NPPES |
| Arizona | Other | DA1674 | AUDIOLOGY LICENSE |
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