Rancis, Susan Lynn

Rancis, Susan Lynn is an individual health care provider with primary practice located at 3434 47Th Street #200, Boulder CO 80301-1880. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rancis, Susan Lynn can be contacted via phone (303) 444-8100.

Contact Information

Primary practice address
3434 47Th Street #200 Boulder CO 80301-1880
Phone: (303) 444-8100
Fax: (303) 444-8113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 179 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 179 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 179 Colorado

Profile Details

NPI number 1144213679
LBN Legal business name Rancis, Susan Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 28th, 2010 - about 14 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 1144213679 NPPES
Colorado MEDICAID 34524037

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