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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1538167861 NPPES
California MEDICAID NP0081300

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