Berkowitz, Susan J

Berkowitz, Susan J is an individual health care provider with primary practice located at 1620 Mulkey Rd Suite 100, Austell GA 30106-1104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berkowitz, Susan J can be contacted via phone (770) 948-3774.

Contact Information

Primary practice address
1620 Mulkey Rd Suite 100 Austell GA 30106-1104
Phone: (770) 948-3774
Fax: (770) 739-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN101050 Georgia

Profile Details

NPI number 1891814422
LBN Legal business name Berkowitz, Susan J
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 26th, 2016 - about 8 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 1891814422 NPPES
Georgia MEDICAID 003146736

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