Gore, Susan Evans

Gore, Susan Evans is an individual health care provider with primary practice located at 2298 Ocean Hwy W , Supply NC 28462-4024. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Gore, Susan Evans can be contacted via phone (910) 755-2428.

Contact Information

Primary practice address
2298 Ocean Hwy W Supply NC 28462-4024
Phone: (910) 755-2428
Fax: (910) 755-2435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1102 North Carolina
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1102 North Carolina

Profile Details

NPI number 1801803192
LBN Legal business name Gore, Susan Evans
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 21st, 2022 - about 2 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 1801803192 NPPES
North Carolina MEDICAID 3404235

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