St Clair, Sue

St Clair, Sue is an individual health care provider with primary practice located at 620 Gallatin Pike S Suite 214, Madison TN 37115-4013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. St Clair, Sue can be contacted via phone (615) 460-4300.

Contact Information

Primary practice address
620 Gallatin Pike S Suite 214 Madison TN 37115-4013
Phone: (615) 460-4300
Fax: (615) 460-4302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000008257 Tennessee

Profile Details

NPI number 1316926553
LBN Legal business name St Clair, Sue
Credentials MSN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Dec 9th, 2013 - about 11 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 1316926553 NPPES
Tennessee MEDICAID 3904132
Tennessee MEDICAID 3904133
Tennessee Other 4031293

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