Lindstrom, Susan H

Lindstrom, Susan H is an individual health care provider with primary practice located at 1483 Tobias Gadson Blvd Suite 102, Charleston SC 29407-8702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lindstrom, Susan H can be contacted via phone (843) 766-6229.

Contact Information

Primary practice address
1483 Tobias Gadson Blvd Suite 102 Charleston SC 29407-8702
Phone: (843) 766-6229
Fax: (843) 766-2315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2180 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2180 South Carolina

Profile Details

NPI number 1861435224
LBN Legal business name Lindstrom, Susan H
Credentials RN,CFNP,CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 20th, 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 1861435224 NPPES
South Carolina MEDICAID 197049

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