Henderson, Susan
Henderson, Susan is an individual health care provider with primary practice located at 830 W High St Suite 307, Lima OH 45801-3971. 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. Henderson, Susan can be contacted via phone (419) 227-5298.Contact Information
Primary practice address
830 W High St Suite 307
Lima OH 45801-3971
Phone: (419) 227-5298
Fax: (419) 227-5879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP05563 | Ohio |
Profile Details
| NPI number | 1841285145 |
|---|---|
| LBN Legal business name | Henderson, Susan |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1841285145 | NPPES |
| Ohio | MEDICAID | 2189199 |
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