Prater, Susan
Prater, Susan is an individual health care provider with primary practice located at 609 W 3Rd St , Imboden AR 72434-9099. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Prater, Susan can be contacted via phone (870) 869-1500.Contact Information
Primary practice address
609 W 3Rd St
Imboden AR 72434-9099
Phone: (870) 869-1500
Fax: (870) 869-1505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1336477306 |
|---|---|
| LBN Legal business name | Prater, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2009 |
| Last updated | Dec 2nd, 2009 - about 15 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 | 1336477306 | NPPES |
| Arkansas | MEDICAID | 173006795 |
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