Powell, Susan
Powell, Susan is an sole proprietor health care provider with primary practice located at 4972 Benchmark Centre Suite 200, Swansea IL 62226. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Powell, Susan can be contacted via phone (618) 920-2663.Contact Information
Primary practice address
4972 Benchmark Centre Suite 200
Swansea IL 62226
Phone: (618) 920-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1396966958 |
|---|---|
| LBN Legal business name | Powell, Susan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1396966958 | NPPES |
| Illinois | Other | 08232031 | BLUE CROSS & BLUE SHIELD |
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