Thibeault, Susan M
Thibeault, Susan M is an individual health care provider with primary practice located at 326 Washington Street , Norwich CT 18764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Thibeault, Susan M can be contacted via phone (860) 889-8331.Contact Information
Primary practice address
326 Washington Street
Norwich CT 18764
Phone: (860) 889-8331
Fax: (703) 766-9725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 003212 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3212 | Connecticut |
Profile Details
| NPI number | 1598771313 |
|---|---|
| LBN Legal business name | Thibeault, Susan M |
| Credentials | CRNA, APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Mar 25th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598771313 | NPPES |
| Connecticut | MEDICAID | 004250403 |
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