Boeger, Susan

Boeger, Susan is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Boeger, Susan can be contacted via phone (417) 781-2727.

Contact Information

Primary practice address
100 Mercy Way Joplin MO 64804-4524
Phone: (417) 781-2727
Fax: (417) 625-2279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 069778 Missouri

Profile Details

NPI number 1568439164
LBN Legal business name Boeger, Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 17th, 2015 - about 9 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 1568439164 NPPES
Oklahoma MEDICAID 100786960B
Oklahoma MEDICAID 100249250C
Oklahoma MEDICAID 912750924

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