Pearson, Susan M
Pearson, Susan M is an individual health care provider with primary practice located at 1240 College View Dr , Riverton WY 82501-2288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pearson, Susan M can be contacted via phone (307) 856-1206.Contact Information
Primary practice address
1240 College View Dr
Riverton WY 82501-2288
Phone: (307) 856-1206
Fax: (307) 856-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4685A | Wyoming |
Profile Details
| NPI number | 1245289511 |
|---|---|
| LBN Legal business name | Pearson, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Aug 5th, 2021 - about 5 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 | 1245289511 | NPPES |
| Wyoming | MEDICAID | 117956000 | |
| Wyoming | Other | 311702 |
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