Keister, Susan Carol
Keister, Susan Carol is an individual health care provider with primary practice located at 527 Nw 27Th Avenue , Corvallis OR 97330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keister, Susan Carol can be contacted via phone (541) 766-6835.Contact Information
Primary practice address
527 Nw 27Th Avenue
Corvallis OR 97330
Phone: (541) 766-6835
Fax: (541) 847-5144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | Oregon |
Profile Details
| NPI number | 1427033729 |
|---|---|
| LBN Legal business name | Keister, Susan Carol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 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 | 1427033729 | NPPES |
| Oregon | MEDICAID | 229273 |
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