Greene, Susanne

Greene, Susanne is an individual health care provider with primary practice located at 1111 Medical Center Cir , Mayfield KY 42066-1194. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greene, Susanne can be contacted via phone (270) 251-4055.

Contact Information

Primary practice address
1111 Medical Center Cir Mayfield KY 42066-1194
Phone: (270) 251-4055
Fax: (270) 251-4053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004553 Kentucky

Profile Details

NPI number 1326084153
LBN Legal business name Greene, Susanne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 2nd, 2013 - about 11 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 1326084153 NPPES
Kentucky MEDICAID 7100042130

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