Boggs, Susan Eileen
Boggs, Susan Eileen is an individual health care provider with primary practice located at 459 Jack Martin Blvd Ste 1, Brick NJ 08724-7724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boggs, Susan Eileen can be contacted via phone (732) 785-1000.Contact Information
Primary practice address
459 Jack Martin Blvd Ste 1
Brick NJ 08724-7724
Phone: (732) 785-1000
Fax: (732) 785-1222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NN08382300 | New Jersey |
Profile Details
| NPI number | 1225029903 |
|---|---|
| LBN Legal business name | Boggs, Susan Eileen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 19th, 2010 - about 14 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 | 1225029903 | NPPES |
| New Jersey | MEDICAID | 823410801 |
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