Hathaway, Susan
Hathaway, Susan is an individual health care provider with primary practice located at 879 Lafayette Rd , Hampton NH 03842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hathaway, Susan can be contacted via phone (603) 929-1195.Contact Information
Primary practice address
879 Lafayette Rd
Hampton NH 03842
Phone: (603) 929-1195
Fax: (603) 929-1196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0371 | New Hampshire |
Profile Details
| NPI number | 1851385512 |
|---|---|
| LBN Legal business name | Hathaway, Susan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jul 17th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851385512 | NPPES |
| New Hampshire | MEDICAID | 3075895 |
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