Mcconaughy, Susan Jill
Mcconaughy, Susan Jill is an individual health care provider with primary practice located at 10465 Park Meadows Drive Suite 104, Lone Tree CO 80124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcconaughy, Susan Jill can be contacted via phone (303) 799-7903.Contact Information
Primary practice address
10465 Park Meadows Drive Suite 104
Lone Tree CO 80124
Phone: (303) 799-7903
Fax: (303) 799-1222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 64072 | Colorado |
Profile Details
| NPI number | 1710069257 |
|---|---|
| LBN Legal business name | Mcconaughy, Susan Jill |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jun 26th, 2012 - about 13 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 | 1710069257 | NPPES |
| Colorado | MEDICAID | 07640725 |
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