Phillips, Susanne Johnson
Phillips, Susanne Johnson is an individual health care provider with primary practice located at 300 W Carl Karcher Way , Anaheim CA 92801-2426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Susanne Johnson can be contacted via phone (888) 456-7002.Contact Information
Primary practice address
300 W Carl Karcher Way
Anaheim CA 92801-2426
Phone: (888) 456-7002
Fax: (714) 435-5407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN476058 NP8130 | California |
Profile Details
NPI number | 1538167861 |
---|---|
LBN Legal business name | Phillips, Susanne Johnson |
Credentials | DNP, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Jun 25th, 2015 - about 9 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 | 1538167861 | NPPES |
California | MEDICAID | NP0081300 |
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