Thibodeau, Susan Mary
Thibodeau, Susan Mary is an individual health care provider with primary practice located at 253 Pleasant St , Concord NH 03301-7560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thibodeau, Susan Mary can be contacted via phone (603) 226-6100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 027347-23-02 | New Hampshire |
Profile Details
| NPI number | 1467471136 |
|---|---|
| LBN Legal business name | Thibodeau, Susan Mary |
| Credentials | BSN, MSN, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 5th, 2011 - about 14 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 | 1467471136 | NPPES |
| New Hampshire | MEDICAID | 30009565 |
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