Herzog, Susan Kay
Herzog, Susan Kay is an sole proprietor health care provider with primary practice located at 1110 College Dr Suite 215, Bismarck ND 58501-1207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herzog, Susan Kay can be contacted via phone (701) 471-1044.Contact Information
Primary practice address
1110 College Dr Suite 215
Bismarck ND 58501-1207
Phone: (701) 471-1044
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 513 | North Dakota |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1992747042 |
---|---|
LBN Legal business name | Herzog, Susan Kay |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2006 |
Last updated | Aug 15th, 2010 - about 15 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 | 1992747042 | NPPES |
Other | N16133 | RR MEDICARE PIN | |
MEDICAID | 19187 | RR MEDICARE PIN | |
Other | 016133 | RR MEDICARE PIN |
Popular Providers
-
Beck, Dean M
600 South 2Nd St Suite 201, Bismarck ND 58504-5729 -
Gienger, Tim J
1237 W Divide Ave Ste 5, Bismarck ND 58501-1208 -
Colton, Deborah Diane
411 N 4Th St Ste 10 , Bismarck ND 58501-4078 -
Chaussee, Jerome A
1237 W Divide Ave Ste 5, Bismarck ND 58501-1208 -
Thompson, Susan D
414 N 7Th St , Bismarck ND 58501-4423 -
Heitkamp, Melanie L
217 W Rosser Ave , Bismarck ND 58501-3755 -
Dailey, Stacie Rae
1237 W Divide Ave Ste 5, Bismarck ND 58501-1220 -
Porter, Theresa Ann
600 South 2Nd Street Suite 201, Bismarck ND 58504-5729