Sushereba, Elizabeth S

Sushereba, Elizabeth S is an individual health care provider with primary practice located at 100 S Main St Suite 215, Smyrna DE 19977-1477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sushereba, Elizabeth S can be contacted via phone (302) 659-4520.

Contact Information

Primary practice address
100 S Main St Suite 215 Smyrna DE 19977-1477
Phone: (302) 659-4520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010002 Pennsylvania

Profile Details

NPI number 1649237918
LBN Legal business name Sushereba, Elizabeth S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 14th, 2012 - about 13 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 1649237918 NPPES
Pennsylvania MEDICAID 001919801

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