Dirks, Susan

Dirks, Susan is an individual health care provider with primary practice located at 85 Constitution Ln Suite 300A, Danvers MA 01923-3694. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Dirks, Susan can be contacted via phone (978) 750-0755.

Contact Information

Primary practice address
85 Constitution Ln Suite 300A Danvers MA 01923-3694
Phone: (978) 750-0755
Fax: (978) 750-0766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201757 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201757 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 201757 Massachusetts

Profile Details

NPI number 1326085945
LBN Legal business name Dirks, Susan
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 9th, 2015 - about 9 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 1326085945 NPPES
Massachusetts Other NP2443 BC/BS PROVIDER NUMBER

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