Boust, Susan J
Boust, Susan J is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Boust, Susan J can be contacted via phone (402) 552-6007.Contact Information
Primary practice address
988102 Nebraska Medical Ctr
Omaha NE 68198-8102
Phone: (402) 552-6007
Fax: (402) 552-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17209 | Nebraska |
Profile Details
| NPI number | 1699732057 |
|---|---|
| LBN Legal business name | Boust, Susan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jun 29th, 2011 - about 13 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 | 1699732057 | NPPES |
| Nebraska | MEDICAID | 47078557539 |
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