Elliott, Susan Auguste

Elliott, Susan Auguste is an sole proprietor health care provider with primary practice located at 53 Hemlock Road , East Calais VT 05650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Elliott, Susan Auguste can be contacted via phone (802) 456-1600.

Contact Information

Primary practice address
53 Hemlock Road East Calais VT 05650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 047-0000515 Vermont

Profile Details

NPI number 1679694186
LBN Legal business name Elliott, Susan Auguste
Credentials LPMA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1679694186 NPPES
Vermont MEDICAID 1003431

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