Stafford, Susan E.

Stafford, Susan E. is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stafford, Susan E. can be contacted via phone (606) 784-4161.

Contact Information

Primary practice address
321 E Main St Morehead KY 40351-1671
Fax: (606) 784-9952
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0801 Kentucky

Profile Details

NPI number 1588672836
LBN Legal business name Stafford, Susan E.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 7th, 2014 - about 10 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 1588672836 NPPES
Kentucky MEDICAID 30610026
Kentucky Other 000000393284

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