Stewart, Susan S

Stewart, Susan S is an individual health care provider with primary practice located at Maui Medical Group 2180 Main Street, Wailuku HI 96793. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stewart, Susan S can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
Maui Medical Group 2180 Main Street Wailuku HI 96793
Phone: (808) 242-6464
Fax: (808) 244-0603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003587 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-974 Hawaii

Profile Details

NPI number 1194728139
LBN Legal business name Stewart, Susan S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 31st, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194728139 NPPES
Georgia MEDICAID 00211373D

Popular Providers