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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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