Davis, Susan L
Davis, Susan L is an sole proprietor health care provider with primary practice located at 20 Worcester Center Blvd , Worcester MA 01608-1312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Susan L can be contacted via phone (508) 368-3140.Contact Information
Primary practice address
20 Worcester Center Blvd
Worcester MA 01608-1312
Phone: (508) 368-3140
Fax: (508) 368-3144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 166356 | Massachusetts |
Profile Details
| NPI number | 1730150590 |
|---|---|
| LBN Legal business name | Davis, Susan L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Apr 18th, 2012 - 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 | 1730150590 | NPPES |
| Other | 47953 | FALLON COMMUNITY HEALTH | |
| Other | 500007983 | FALLON COMMUNITY HEALTH | |
| Other | NP1842 | FALLON COMMUNITY HEALTH | |
| Other | 042472266 | FALLON COMMUNITY HEALTH | |
| Other | 042472266 | FALLON COMMUNITY HEALTH | |
| Other | AA3609 | FALLON COMMUNITY HEALTH | |
| Other | 042472266 | FALLON COMMUNITY HEALTH | |
| Other | NP1842 | FALLON COMMUNITY HEALTH |
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