Davis, Susan
Davis, Susan is an individual health care provider with primary practice located at 2435 W Belvedere Ave Suite 35, Baltimore MD 21215-5224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Davis, Susan can be contacted via phone (410) 601-0900.Contact Information
Primary practice address
2435 W Belvedere Ave Suite 35
Baltimore MD 21215-5224
Phone: (410) 601-0900
Fax: (410) 601-0901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R093098 | Maryland |
Profile Details
| NPI number | 1285684035 |
|---|---|
| LBN Legal business name | Davis, Susan |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 4th, 2017 - about 8 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 | 1285684035 | NPPES |
| Maryland | Other | P00125781 | R/R MEDICARE PROVIDER # |
| Maryland | Other | CC1918 | R/R MEDICARE PROVIDER # |
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