Chesley, Susan Lynn
Chesley, Susan Lynn is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Chesley, Susan Lynn can be contacted via phone (360) 636-4878.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2310
Phone: (360) 636-4878
Fax: (360) 414-7457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00148452 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30006417 | Washington |
Profile Details
NPI number | 1417987975 |
---|---|
LBN Legal business name | Chesley, Susan Lynn |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jul 9th, 2007 - 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 | 1417987975 | NPPES |
Washington | Other | 8943330 | CRIME VICTIMS |
Washington | Other | 200428 | CRIME VICTIMS |
Washington | MEDICAID | 299804 | CRIME VICTIMS |
Washington | MEDICAID | 9639105 | CRIME VICTIMS |
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