Gain, Susan B.
Gain, Susan B. is an individual health care provider with primary practice located at 910 Blackford Street , Chattanooga TN 37403-1405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gain, Susan B. can be contacted via phone (423) 778-6476.Contact Information
Primary practice address
910 Blackford Street
Chattanooga TN 37403-1405
Phone: (423) 778-6476
Fax: (423) 778-4232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2953602 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13768 | Tennessee |
Profile Details
NPI number | 1477552347 |
---|---|
LBN Legal business name | Gain, Susan B. |
Credentials | APRN-BC, PNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Oct 7th, 2010 - about 14 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 | 1477552347 | NPPES |
Georgia | MEDICAID | 451755976A | |
Georgia | MEDICAID | 306729700 |
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