Bushong, Suzanne
Bushong, Suzanne is an sole proprietor health care provider with primary practice located at 630 W Court St , Paragould AR 72450-4247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bushong, Suzanne can be contacted via phone (870) 236-6911.Contact Information
Primary practice address
630 W Court St
Paragould AR 72450-4247
Phone: (870) 236-6911
Fax: (870) 236-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01023 | Arkansas |
Profile Details
| NPI number | 1417929316 |
|---|---|
| LBN Legal business name | Bushong, Suzanne |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | May 13th, 2016 - about 8 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 | 1417929316 | NPPES |
| Arkansas | MEDICAID | 139748758 |
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