Daniell, Susan D
Daniell, Susan D is an individual health care provider with primary practice located at 200 N Monroe St , Eugene OR 97402-4243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Daniell, Susan D can be contacted via phone (541) 689-1427.Contact Information
Primary practice address
200 N Monroe St
Eugene OR 97402-4243
Phone: (541) 689-1427
Fax: (541) 341-1693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | FNP97006870 | Oregon |
Profile Details
| NPI number | 1831168715 |
|---|---|
| LBN Legal business name | Daniell, Susan D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 30th, 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 | 1831168715 | NPPES |
| Oregon | MEDICAID | 210296 |
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