Scott, Susan L
Scott, Susan L is an individual health care provider with primary practice located at 3412 E Hebron Pkwy Ste 106 , Carrollton TX 75010-4451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Scott, Susan L can be contacted via phone (972) 810-1620.Contact Information
Primary practice address
3412 E Hebron Pkwy Ste 106
Carrollton TX 75010-4451
Phone: (972) 810-1620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004674 | Washington |
Profile Details
NPI number | 1750323788 |
---|---|
LBN Legal business name | Scott, Susan L |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Oct 17th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750323788 | NPPES |
Washington | MEDICAID | 8405854 | |
Washington | Other | 8936787 | |
Washington | Other | 7570SC | |
Washington | Other | 0191713 |
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