Engeseth, Susan C

Engeseth, Susan C is an individual health care provider with primary practice located at 1313 Fish Hatchery Rd Dean Medical Center, Madison WI 53715-1911. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Engeseth, Susan C can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1313 Fish Hatchery Rd Dean Medical Center Madison WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 252-8245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1840-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 1840-033 Wisconsin

Profile Details

NPI number 1740244599
LBN Legal business name Engeseth, Susan C
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 7th, 2009 - about 15 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 1740244599 NPPES
Wisconsin Other 1540 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 43881000 DEAN HEALTH INSURANCE

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