Sansoucie, Colleen

Sansoucie, Colleen is an individual health care provider with primary practice located at 201 State St , Erie PA 16550-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sansoucie, Colleen can be contacted via phone (814) 877-4922.

Contact Information

Primary practice address
201 State St Erie PA 16550-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN94448347 Florida

Profile Details

NPI number 1821463886
LBN Legal business name Sansoucie, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2015
Last updated Jan 4th, 2024 - about last year

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 1821463886 NPPES
Florida Other MPT88 BCBS
Florida MEDICAID 118705100 BCBS

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