Santrock, Susan
Santrock, Susan is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Santrock, Susan can be contacted via phone (304) 348-7740.Contact Information
Primary practice address
200 Elizabeth St
Charleston WV 25311-2119
Phone: (304) 348-7740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 27782 | West Virginia |
Profile Details
| NPI number | 1215184809 |
|---|---|
| LBN Legal business name | Santrock, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Aug 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215184809 | NPPES |
| West Virginia | MEDICAID | 0162500000 |
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