Ponder, Susan Jo
Ponder, Susan Jo is an sole proprietor health care provider with primary practice located at 1919 65Th Ave Ste 3 , Greeley CO 80634-7965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Ponder, Susan Jo can be contacted via phone (970) 590-1138.Contact Information
Primary practice address
1919 65Th Ave Ste 3
Greeley CO 80634-7965
Phone: (970) 590-1138
Fax: (970) 356-7437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 130627 | Colorado |
Profile Details
| NPI number | 1336496330 |
|---|---|
| LBN Legal business name | Ponder, Susan Jo |
| Credentials | RN, CNS/RXN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2012 |
| Last updated | May 31st, 2021 - about 3 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 | 1336496330 | NPPES |
| Colorado | MEDICAID | 1134592256 | |
| Colorado | Other | 1336496330 |
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