Linehan, Susan J
Linehan, Susan J is an individual health care provider with primary practice located at 5415 W Genesee St Suite 301, Camillus NY 13031-2162. 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. Linehan, Susan J can be contacted via phone (315) 487-8109.Contact Information
Primary practice address
5415 W Genesee St Suite 301
Camillus NY 13031-2162
Phone: (315) 487-8109
Fax: (315) 487-5680
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F000479 | New York |
Profile Details
NPI number | 1821068412 |
---|---|
LBN Legal business name | Linehan, Susan J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Aug 17th, 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 | 1821068412 | NPPES |
New York | MEDICAID | 01791111 |
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