Thomas, Shiny Susan

Thomas, Shiny Susan is an individual health care provider with primary practice located at 7615,East Baseline Road , Mesa AZ 85209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Thomas, Shiny Susan can be contacted via phone (480) 962-0101.

Contact Information

Primary practice address
7615,East Baseline Road Mesa AZ 85209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X RNP230519 Arizona

Profile Details

NPI number 1558916247
LBN Legal business name Thomas, Shiny Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 5 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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