Gateley, Susan

Gateley, Susan is an individual health care provider with primary practice located at 601 W Mckennon St , Clarksville AR 72830-3523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Gateley, Susan can be contacted via phone (479) 754-8384.

Contact Information

Primary practice address
601 W Mckennon St Clarksville AR 72830-3523
Phone: (479) 754-8384
Fax: (479) 754-7141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A01730 Arkansas

Profile Details

NPI number 1083684740
LBN Legal business name Gateley, Susan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 22nd, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083684740 NPPES
Arkansas Other 020407900 BLACK LUNG PROGRAM
Arkansas Other 5U698 BLACK LUNG PROGRAM
Arkansas Other 0062731 BLACK LUNG PROGRAM
Arkansas Other 0790780001 BLACK LUNG PROGRAM
Arkansas MEDICAID 150985758 BLACK LUNG PROGRAM
Arkansas Other 435205 BLACK LUNG PROGRAM
Arkansas Other XX12984 BLACK LUNG PROGRAM

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