Oglesbee, Susan R
Oglesbee, Susan R is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oglesbee, Susan R can be contacted via phone (601) 268-5680.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 268-5680
Fax: (601) 268-5778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R784076 | Mississippi |
Profile Details
| NPI number | 1750385365 |
|---|---|
| LBN Legal business name | Oglesbee, Susan R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jul 23rd, 2020 - about 4 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 | 1750385365 | NPPES |
| Mississippi | MEDICAID | 00122554 |
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