Brown, Susan A
Brown, Susan A is an sole proprietor health care provider with primary practice located at 501 Nw Lake Whitney Pl Suite #106, Port St Lucie FL 34986-1615. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as her primary health care specialty. Brown, Susan A can be contacted via phone (772) 785-8000.Contact Information
Primary practice address
501 Nw Lake Whitney Pl Suite #106
Port St Lucie FL 34986-1615
Phone: (772) 785-8000
Fax: (772) 785-8150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Sonography | 2471S1302X | 14307 | Florida |
Profile Details
| NPI number | 1609007194 |
|---|---|
| LBN Legal business name | Brown, Susan A |
| Credentials | ARDMS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2009 |
| Last updated | Aug 5th, 2009 - about 16 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 | 1609007194 | NPPES |
| Florida | Other | V2026 | BLUE SHIELD |
| Florida | MEDICAID | 510001100 | BLUE SHIELD |
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