Longerbone, Susan Westlake
Longerbone, Susan Westlake is an sole proprietor health care provider with primary practice located at 4010 Walker Av , Greensboro NC 27403. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Longerbone, Susan Westlake can be contacted via phone (336) 202-1959.Contact Information
Primary practice address
4010 Walker Av
Greensboro NC 27403
Phone: (336) 202-1959
Fax: (336) 662-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | NC961 | North Carolina |
Profile Details
| NPI number | 1245221530 |
|---|---|
| LBN Legal business name | Longerbone, Susan Westlake |
| Credentials | LOC NCC CEAP MAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245221530 | NPPES |
| Other | 023332 | VMC | |
| Other | 102040 | VMC | |
| Other | 479252 | VMC | |
| Other | 52689 | VMC | |
| Other | 51335 | VMC | |
| MEDICAID | 6102049 | VMC |
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