Haines, Susan

Haines, Susan is an individual health care provider with primary practice located at 111 Port Watson St , Cortland NY 13045-3157. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Haines, Susan can be contacted via phone (607) 753-9326.

Contact Information

Primary practice address
111 Port Watson St Cortland NY 13045-3157
Phone: (607) 753-9326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 057403-1 New York

Profile Details

NPI number 1699921973
LBN Legal business name Haines, Susan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 2008 - about 16 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 1699921973 NPPES
New York Other 057403-1 NYS LPN LICENSE

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