Ferreira-Susin, Lisiane
Ferreira-Susin, Lisiane is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Ferreira-Susin, Lisiane can be contacted via phone (706) 721-4225.Contact Information
Primary practice address
1430 John Wesley Gilbert Drive Gc-1024
Augusta GA 30912-1001
Phone: (706) 721-4225
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | DNF000358 | Georgia |
Profile Details
NPI number | 1407152218 |
---|---|
LBN Legal business name | Ferreira-Susin, Lisiane |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2011 |
Last updated | Dec 8th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407152218 | NPPES |
South Carolina | MEDICAID | ZG0358 |
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