Chisholm, Susan
Chisholm, Susan is an individual health care provider with primary practice located at 305 College Pkwy , Arnold MD 21012-2912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chisholm, Susan can be contacted via phone (410) 647-0015.Contact Information
Primary practice address
305 College Pkwy
Arnold MD 21012-2912
Phone: (410) 647-0015
Fax: (410) 647-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R107431 | Maryland |
Profile Details
| NPI number | 1649210717 |
|---|---|
| LBN Legal business name | Chisholm, Susan |
| Credentials | RN, CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Dec 2nd, 2011 - about 14 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 | 1649210717 | NPPES |
| Maryland | MEDICAID | 644565900 |
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