Carr, Susan Rae
Carr, Susan Rae is an individual health care provider with primary practice located at 135 S Penn Ave , Harrisville WV 26362-1371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carr, Susan Rae can be contacted via phone (304) 643-4005.Contact Information
Primary practice address
135 S Penn Ave
Harrisville WV 26362-1371
Phone: (304) 643-4005
Fax: (304) 643-4007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 55537 | West Virginia |
Profile Details
| NPI number | 1932414364 |
|---|---|
| LBN Legal business name | Carr, Susan Rae |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Jan 8th, 2014 - about 11 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 | 1932414364 | NPPES |
| West Virginia | MEDICAID | 3810018904 |
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