Campbell, Susan

Campbell, Susan is an individual health care provider with primary practice located at 30 Lafayette Sq Ste 109 , Vernon CT 06066-4554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Susan can be contacted via phone (860) 454-0303.

Contact Information

Primary practice address
30 Lafayette Sq Ste 109 Vernon CT 06066-4554
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8426 Connecticut

Profile Details

NPI number 1891337952
LBN Legal business name Campbell, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated Jun 24th, 2021 - about 3 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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