Rand, Susanna

Rand, Susanna is an sole proprietor health care provider with primary practice located at 5018 Carl Dr , Roswell NM 88201-8646. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rand, Susanna can be contacted via phone (575) 626-9593.

Contact Information

Primary practice address
5018 Carl Dr Roswell NM 88201-8646
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0151651 New Mexico

Profile Details

NPI number 1821212143
LBN Legal business name Rand, Susanna
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Mar 17th, 2018 - about 6 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 1821212143 NPPES
New Mexico MEDICAID 53203780

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