Brown, Susan C

Brown, Susan C is an individual health care provider with primary practice located at 414 Shoup Ave W Sutie B, Twin Falls ID 83301-5042. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brown, Susan C can be contacted via phone (208) 814-9100.

Contact Information

Primary practice address
414 Shoup Ave W Sutie B Twin Falls ID 83301-5042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 30820 Idaho

Profile Details

NPI number 1477837698
LBN Legal business name Brown, Susan C
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Jan 25th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477837698 NPPES
Idaho MEDICAID 1477837698

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