Shoemaker, Susan Ross

Shoemaker, Susan Ross is an individual health care provider with primary practice located at 301 N Elm St #801, Greensboro NC 27401-2083. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shoemaker, Susan Ross can be contacted via phone (336) 790-1119.

Contact Information

Primary practice address
301 N Elm St #801 Greensboro NC 27401-2083
Phone: (336) 790-1119
Fax: (336) 274-1236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4217 North Carolina

Profile Details

NPI number 1699831503
LBN Legal business name Shoemaker, Susan Ross
Credentials LPC-S, NCC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Nov 2nd, 2011 - about 13 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 1699831503 NPPES
North Carolina MEDICAID 6102521

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