Skaparas, Susan C

Skaparas, Susan C is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301-5521. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Skaparas, Susan C can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty St Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 110835 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110835 Massachusetts

Profile Details

NPI number 1992761027
LBN Legal business name Skaparas, Susan C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 13th, 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 1992761027 NPPES
Massachusetts Other NP0465 BLUE CROSS
Massachusetts Other 39430 BLUE CROSS
Massachusetts MEDICAID 0327701 BLUE CROSS

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