Doane, Susan M

Doane, Susan M is an individual health care provider with primary practice located at 254 Buck Run Pass , Canyon Lake TX 78133-4953. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Doane, Susan M can be contacted via phone (916) 715-9930.

Contact Information

Primary practice address
254 Buck Run Pass Canyon Lake TX 78133-4953
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 910156 Texas

Profile Details

NPI number 1447813357
LBN Legal business name Doane, Susan M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2019
Last updated Apr 16th, 2019 - about 6 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 1447813357 NPPES
Texas MEDICAID UNKNOWN

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