Moss, Susan
Moss, Susan is an individual health care provider with primary practice located at 165 Corporate Dr , Houma LA 70360-2767. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Moss, Susan can be contacted via phone (985) 851-1001.Contact Information
Primary practice address
165 Corporate Dr
Houma LA 70360-2767
Phone: (985) 851-1001
Fax: (985) 851-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 080012 | Louisiana |
Profile Details
| NPI number | 1578643896 |
|---|---|
| LBN Legal business name | Moss, Susan |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Apr 25th, 2017 - about 7 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 | 1578643896 | NPPES |
| Louisiana | MEDICAID | 99322 | |
| Louisiana | MEDICAID | 1449172 |
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