Dipert-Scott, Susan Marie
Dipert-Scott, Susan Marie is an individual health care provider with primary practice located at 2805 Lyndhurst Ave , Winston Salem NC 27103-4109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dipert-Scott, Susan Marie can be contacted via phone (336) 659-0076.Contact Information
Primary practice address
2805 Lyndhurst Ave
Winston Salem NC 27103-4109
Phone: (336) 659-0076
Fax: (336) 659-0272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5004630 | North Carolina |
Profile Details
| NPI number | 1245299262 |
|---|---|
| LBN Legal business name | Dipert-Scott, Susan Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Apr 6th, 2022 - about 2 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 | 1245299262 | NPPES |
| North Carolina | MEDICAID | 1245299262 |
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