Constance, Susan
Constance, Susan is an sole proprietor health care provider with primary practice located at 500 North Mundo , Dulce NM 87528-0269. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Constance, Susan can be contacted via phone (505) 759-3291.Contact Information
Primary practice address
500 North Mundo
Dulce NM 87528-0269
Phone: (505) 759-3291
Fax: (505) 759-7294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | 126420 | Colorado |
Profile Details
| NPI number | 1467476440 |
|---|---|
| LBN Legal business name | Constance, Susan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 20th, 2010 - 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 | 1467476440 | NPPES |
| New Mexico | Other | HSZ196 | MEDICARE PART B |
| New Mexico | MEDICAID | 000K3526 | MEDICARE PART B |
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