Roche, Susan M

Roche, Susan M is an individual health care provider with primary practice located at 2500 W 12Th St , Erie PA 16505-4508. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Roche, Susan M can be contacted via phone (814) 838-9000.

Contact Information

Primary practice address
2500 W 12Th St Erie PA 16505-4508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X RN224580L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X VP003651C Pennsylvania

Profile Details

NPI number 1629117197
LBN Legal business name Roche, Susan M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 3rd, 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 1629117197 NPPES
Pennsylvania Other 002105227 HIGHMARK

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