Sorem, Susan Jane

Sorem, Susan Jane is an individual health care provider with primary practice located at 211 E Logan St Ste B3 , Caldwell ID 83605. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sorem, Susan Jane can be contacted via phone (620) 221-9664.

Contact Information

Primary practice address
211 E Logan St Ste B3 Caldwell ID 83605
Phone: (620) 221-9664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2510 Kansas

Profile Details

NPI number 1275632937
LBN Legal business name Sorem, Susan Jane
Credentials L.S.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 21st, 2018 - about 7 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 1275632937 NPPES
Kansas Other 2510 KANSAS LINCENSE
Kansas MEDICAID 100098100A KANSAS LINCENSE
Kansas Other 10819 KANSAS LINCENSE

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