Brown, Susan D.

Brown, Susan D. is an individual health care provider with primary practice located at 3113 E Washington Ave , Madison WI 53704-4330. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Brown, Susan D. can be contacted via phone (608) 242-0220.

Contact Information

Primary practice address
3113 E Washington Ave Madison WI 53704-4330
Phone: (608) 242-0220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 14260031 Wisconsin

Profile Details

NPI number 1316087679
LBN Legal business name Brown, Susan D.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316087679 NPPES
West Virginia Other 14260031 LPN LICENSE NUMBER
West Virginia MEDICAID 42016400 LPN LICENSE NUMBER

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