Craig, Susan Renee

Craig, Susan Renee is an sole proprietor health care provider with primary practice located at 14959 Seneca Rd Apt 65 , Victorville CA 92392-2298. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Craig, Susan Renee can be contacted via phone (760) 523-6040.

Contact Information

Primary practice address
14959 Seneca Rd Apt 65 Victorville CA 92392-2298
Phone: (760) 523-6040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 164090 California
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN164090 California

Profile Details

NPI number 1528162575
LBN Legal business name Craig, Susan Renee
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Jul 21st, 2022 - about 2 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 1528162575 NPPES
California MEDICAID 618663487
California MEDICAID 619582446

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