Klarquist, Susan Jean

Klarquist, Susan Jean is an individual health care provider with primary practice located at 205 South St , Fort Bragg CA 95437-5540. 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. Klarquist, Susan Jean can be contacted via phone (707) 964-1251.

Contact Information

Primary practice address
205 South St Fort Bragg CA 95437-5540
Phone: (707) 964-1251
Fax: (707) 961-2722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15463 California

Profile Details

NPI number 1356465819
LBN Legal business name Klarquist, Susan Jean
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356465819 NPPES
California MEDICAID FHC03967F

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