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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 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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