Quintero, Susana

Quintero, Susana is an individual health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Quintero, Susana can be contacted via phone (239) 275-3222.

Contact Information

Primary practice address
2789 Ortiz Ave Fort Myers FL 33905-7806
Phone: (239) 275-3222
Fax: (239) 278-9058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1629333265
LBN Legal business name Quintero, Susana
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 12 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 1629333265 NPPES
Florida Other Q536780535520 DRIVER LICENSE

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