Bourdon, Susan
Bourdon, Susan is an individual health care provider with primary practice located at 2345 Murray Ave Suite 200, Pittsburgh PA 15217-2352. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Behavioral Health & Social Service Providers / Professional. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Bourdon, Susan can be contacted via phone (412) 421-6770.Contact Information
Primary practice address
2345 Murray Ave Suite 200
Pittsburgh PA 15217-2352
Phone: (412) 421-6770
Fax: (412) 421-6596
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN321656L | Pennsylvania |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | RN321656L | Pennsylvania |
Profile Details
NPI number | 1013946508 |
---|---|
LBN Legal business name | Bourdon, Susan |
Credentials | RN, MSN, CS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Jun 18th, 2008 - about 17 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 | 1013946508 | NPPES |
Pennsylvania | MEDICAID | 100730154 |
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