Johnson, Susan Mary Hart
Johnson, Susan Mary Hart is an sole proprietor health care provider with primary practice located at 30 Hyde Ave Ste 109 , Vernon CT 06066-4503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Susan Mary Hart can be contacted via phone (860) 454-0303.Contact Information
Primary practice address
30 Hyde Ave Ste 109
Vernon CT 06066-4503
Phone: (860) 454-0303
Fax: (860) 875-4242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000687 | Connecticut |
Profile Details
| NPI number | 1497888002 |
|---|---|
| LBN Legal business name | Johnson, Susan Mary Hart |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jun 25th, 2021 - about 4 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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