Glass, Susan Kay

Glass, Susan Kay is an sole proprietor health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Glass, Susan Kay can be contacted via phone (239) 275-3222.

Contact Information

Primary practice address
2789 Ortiz Ave Fort Myers FL 33905-7806
Phone: (239) 275-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5195391 Florida

Profile Details

NPI number 1164787776
LBN Legal business name Glass, Susan Kay
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 12 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 1164787776 NPPES
Florida Other PN5195391 LPN LICENSE

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