Nolan, Susan Jane

Nolan, Susan Jane is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 110 , Port Charlotte FL 33980-2005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nolan, Susan Jane can be contacted via phone (941) 235-4900.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105671 Florida

Profile Details

NPI number 1104121243
LBN Legal business name Nolan, Susan Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2011
Last updated Jun 27th, 2024 - about last year

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 1104121243 NPPES
Florida MEDICAID 004409300

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