Laughlin, Susan Glenna
Laughlin, Susan Glenna is an individual health care provider with primary practice located at 1302 S Rogers St , Bloomington IN 47403-4752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Laughlin, Susan Glenna can be contacted via phone (812) 353-3700.Contact Information
Primary practice address
1302 S Rogers St
Bloomington IN 47403-4752
Phone: (812) 353-3700
Fax: (812) 353-3710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003797A | Indiana |
Profile Details
| NPI number | 1043599723 |
|---|---|
| LBN Legal business name | Laughlin, Susan Glenna |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2011 |
| Last updated | Dec 17th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043599723 | NPPES |
| Indiana | MEDICAID | 201041010 |
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