Katuin, Susan L

Katuin, Susan L is an individual health care provider with primary practice located at 525 Airport Dr , Oneida WI 54155-9035. 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. Katuin, Susan L can be contacted via phone (920) 869-2711.

Contact Information

Primary practice address
525 Airport Dr Oneida WI 54155-9035
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1283-033 Wisconsin

Profile Details

NPI number 1710975495
LBN Legal business name Katuin, Susan L
Credentials RNC APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 4th, 2012 - about 14 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 1710975495 NPPES
Wisconsin MEDICAID 43832000
Wisconsin Other 990008817

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