Docking, Susan W.

Docking, Susan W. is an sole proprietor health care provider with primary practice located at 13012 W 118Th Ter , Overland Park KS 66210-3513. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Docking, Susan W. can be contacted via phone (913) 469-0250.

Contact Information

Primary practice address
13012 W 118Th Ter Overland Park KS 66210-3513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1548427115
LBN Legal business name Docking, Susan W.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 16 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 1548427115 NPPES
Kansas Other 100392760 A HCBS PROVIDER

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