Caron, Susie Elizabeth
Caron, Susie Elizabeth is an sole proprietor health care provider with primary practice located at 325 Swamp Rd , Fairfax VT 05454-9777. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Caron, Susie Elizabeth can be contacted via phone (802) 849-2777.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 047-0000717 | Vermont |
Profile Details
| NPI number | 1093877300 |
|---|---|
| LBN Legal business name | Caron, Susie Elizabeth |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Aug 27th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093877300 | NPPES |
| Vermont | MEDICAID | 1011337 |
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