Kotowicz, Susan T
Kotowicz, Susan T is an sole proprietor health care provider with primary practice located at 2215 Maxwell Ave Cheyenne, Cheyenne WY 82001-3849. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kotowicz, Susan T can be contacted via phone (307) 634-6142.Contact Information
Primary practice address
2215 Maxwell Ave Cheyenne
Cheyenne WY 82001-3849
Phone: (307) 634-6142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 054 | Wyoming |
Profile Details
| NPI number | 1023085750 |
|---|---|
| LBN Legal business name | Kotowicz, Susan T |
| Credentials | MSW, LCSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Mar 23rd, 2009 - about 15 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 | 1023085750 | NPPES |
| Wyoming | Other | 305303 | BS OF WY |
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