Booker, Suzan Lynne
Booker, Suzan Lynne is an sole proprietor health care provider with primary practice located at 1424 Huntdell Main Dr , Wendell NC 27591-7254. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Booker, Suzan Lynne can be contacted via phone (919) 365-9099.Contact Information
Primary practice address
1424 Huntdell Main Dr
Wendell NC 27591-7254
Phone: (919) 365-9099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X | MHL-092-296 | North Carolina |
Profile Details
| NPI number | 1235334194 |
|---|---|
| LBN Legal business name | Booker, Suzan Lynne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 9th, 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 | 1235334194 | NPPES |
| North Carolina | MEDICAID | 3409408 |
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