Small, Susanne K.
Small, Susanne K. is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Small, Susanne K. can be contacted via phone (270) 824-3682.Contact Information
Primary practice address
900 Hospital Dr
Madisonville KY 42431-1644
Phone: (270) 824-3682
Fax: (270) 824-3675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 137090 | Missouri |
Profile Details
| NPI number | 1427186949 |
|---|---|
| LBN Legal business name | Small, Susanne K. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427186949 | NPPES |
| Kentucky | Other | P00944104 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | Other | 8298 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | MEDICAID | 0563130 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | Other | 430079704 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | MEDICAID | 915942007 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | Other | 80172 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | Other | CG4336 | MEDICARE RAILROAD FOR 5363 |
| Kentucky | MEDICAID | 0976845 | MEDICARE RAILROAD FOR 5363 |
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