Hoffner, Susan Camille

Hoffner, Susan Camille is an sole proprietor health care provider with primary practice located at 3285 E Sparrow Ave , Flagstaff AZ 86004-7794. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Hoffner, Susan Camille can be contacted via phone (928) 773-8202.

Contact Information

Primary practice address
3285 E Sparrow Ave Flagstaff AZ 86004-7794
Phone: (928) 773-8202
Fax: (928) 773-8247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN102899 Arizona

Profile Details

NPI number 1336360841
LBN Legal business name Hoffner, Susan Camille
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 9th, 2007 - about 18 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 1336360841 NPPES
Arizona Other RN102899 NURSING LICENSE
Arizona MEDICAID 130529 NURSING LICENSE

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