Walker, Susan M

Walker, Susan M is an individual health care provider with primary practice located at 830 Washington St 3Rd Floor Samaritan Medical Center Pmc, Watertown NY 13601-3211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walker, Susan M can be contacted via phone (315) 785-4313.

Contact Information

Primary practice address
830 Washington St 3Rd Floor Samaritan Medical Center Pmc Watertown NY 13601-3211
Fax: (315) 779-5114
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3330871 New York

Profile Details

NPI number 1942351192
LBN Legal business name Walker, Susan M
Credentials NP C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated May 20th, 2008 - about 16 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 1942351192 NPPES
New York MEDICAID 02377397

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