Matthew, Susan A

Matthew, Susan A is an individual health care provider with primary practice located at 7236 Jordan Drive Suite 101 , Rapid City SD 57701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matthew, Susan A can be contacted via phone (605) 341-5565.

Contact Information

Primary practice address
7236 Jordan Drive Suite 101 Rapid City SD 57701
Phone: (605) 341-5565
Fax: (605) 341-5595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0284 South Dakota

Profile Details

NPI number 1356313811
LBN Legal business name Matthew, Susan A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 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 1356313811 NPPES
South Dakota Other 0040887 WELLMARK BCBS NUMBER
South Dakota Other 311949 WELLMARK BCBS NUMBER
South Dakota MEDICAID 6824580 WELLMARK BCBS NUMBER

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