Guthart, Susan L

Guthart, Susan L is an individual health care provider with primary practice located at 201 E Morrissey Dr , Elkhorn WI 53121-4395. 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. Guthart, Susan L can be contacted via phone (262) 741-1900.

Contact Information

Primary practice address
201 E Morrissey Dr Elkhorn WI 53121-4395
Phone: (262) 741-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8940 Wisconsin

Profile Details

NPI number 1538631296
LBN Legal business name Guthart, Susan L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Nov 23rd, 2021 - about 4 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 1538631296 NPPES
Wisconsin MEDICAID 100085846

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