Mckeown, Susan M
Mckeown, Susan M is an individual health care provider with primary practice located at 1245 Elm Street , Manchester NH 03101-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mckeown, Susan M can be contacted via phone (603) 668-6629.Contact Information
Primary practice address
1245 Elm Street
Manchester NH 03101-1308
Phone: (603) 668-6629
Fax: (603) 622-7680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 016062 21 | New Hampshire |
Profile Details
| NPI number | 1326111295 |
|---|---|
| LBN Legal business name | Mckeown, Susan M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1326111295 | NPPES |
| New Hampshire | MEDICAID | 30008740 |
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