Derrick, Susan M
Derrick, Susan M is an sole proprietor health care provider with primary practice located at 117 Seafarers Ln , Rochester NY 14612-2947. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Derrick, Susan M can be contacted via phone (585) 723-0713.Contact Information
Primary practice address
117 Seafarers Ln
Rochester NY 14612-2947
Phone: (585) 723-0713
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 416803-1 | New York |
Profile Details
| NPI number | 1730266065 |
|---|---|
| LBN Legal business name | Derrick, Susan M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 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 | 1730266065 | NPPES |
| New York | MEDICAID | 01649229 |
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