Pelican, Susan Gumpert

Pelican, Susan Gumpert is an sole proprietor health care provider with primary practice located at 21024 County Road 95 , Woodland CA 95695-9315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Pelican, Susan Gumpert can be contacted via phone (530) 713-1131.

Contact Information

Primary practice address
21024 County Road 95 Woodland CA 95695-9315
Phone: (530) 713-1131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 850 California

Profile Details

NPI number 1154465193
LBN Legal business name Pelican, Susan Gumpert
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154465193 NPPES
California MEDICAID NMW008500

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