Canty, Susan M

Canty, Susan M is an individual health care provider with primary practice located at 1001 Main St Ste 300 , Peoria IL 61606-2036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Canty, Susan M can be contacted via phone (309) 495-0250.

Contact Information

Primary practice address
1001 Main St Ste 300 Peoria IL 61606-2036
Phone: (309) 495-0250
Fax: (309) 495-0276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000387 Illinois

Profile Details

NPI number 1952351256
LBN Legal business name Canty, Susan M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 19th, 2011 - about 13 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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