Scott, Susan Jane

Scott, Susan Jane is an individual health care provider with primary practice located at 514 Beltrami Ave Nw , Bemidji MN 56601-3010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Scott, Susan Jane can be contacted via phone (218) 444-2845.

Contact Information

Primary practice address
514 Beltrami Ave Nw Bemidji MN 56601-3010
Fax: (218) 444-2847
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 820 Minnesota

Profile Details

NPI number 1770704165
LBN Legal business name Scott, Susan Jane
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1770704165 NPPES
Minnesota Other 163M7SC BLUE CROSS BLUE SHIELD MN

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