Conway, Susan

Conway, Susan is an individual health care provider with primary practice located at 206 E Farrel Rd Ste 270 , Lafayette LA 70508-7104. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Conway, Susan can be contacted via phone (337) 989-8795.

Contact Information

Primary practice address
206 E Farrel Rd Ste 270 Lafayette LA 70508-7104
Fax: (404) 843-0812
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 54192 Georgia

Profile Details

NPI number 1245201334
LBN Legal business name Conway, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Dec 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245201334 NPPES
Georgia Other 54192 GA STATE LICENSE

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