Bingham, Susan S

Bingham, Susan S is an individual health care provider with primary practice located at 7728 Palm River Rd , Tampa FL 33619-4215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bingham, Susan S can be contacted via phone (813) 653-6100.

Contact Information

Primary practice address
7728 Palm River Rd Tampa FL 33619-4215
Fax: (813) 938-6428
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP2980002 Florida

Profile Details

NPI number 1053424945
LBN Legal business name Bingham, Susan S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 26th, 2018 - about 7 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 1053424945 NPPES
Florida MEDICAID 305059900

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