Emmerich, Susan L
Emmerich, Susan L is an individual health care provider with primary practice located at 1215 Dunn Ave , Jacksonville FL 32218-6330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Emmerich, Susan L can be contacted via phone (904) 757-1998.Contact Information
Primary practice address
1215 Dunn Ave
Jacksonville FL 32218-6330
Phone: (904) 757-1998
Fax: (904) 696-7462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C056595 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9380555 | Florida |
Profile Details
NPI number | 1700909389 |
---|---|
LBN Legal business name | Emmerich, Susan L |
Credentials | ARNP, CPNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 9th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1700909389 | NPPES |
Iowa | Other | C 056595 | IA NURSE LISCENSE |
Iowa | Other | 5200629 | IA NURSE LISCENSE |
Iowa | Other | ARNP9380555 | IA NURSE LISCENSE |
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