Stoltzman, Susan M

Stoltzman, Susan M is an individual health care provider with primary practice located at 3448 Route 31 , Baldwinsville NY 13027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stoltzman, Susan M can be contacted via phone (315) 622-6595.

Contact Information

Primary practice address
3448 Route 31 Baldwinsville NY 13027
Phone: (315) 622-6595
Fax: (315) 622-3298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 465376 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 382631 New York

Profile Details

NPI number 1316912371
LBN Legal business name Stoltzman, Susan M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 9th, 2016 - about 9 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 1316912371 NPPES
Texas MEDICAID 113199704

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