Welch, Susan M
Welch, Susan M is an sole proprietor health care provider with primary practice located at 106 Wright Pkwy Se , Fort Walton Beach FL 32548. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Welch, Susan M can be contacted via phone (850) 243-1534.Contact Information
Primary practice address
106 Wright Pkwy Se
Fort Walton Beach FL 32548
Phone: (850) 243-1534
Fax: (850) 243-7541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN15821 | Florida |
Profile Details
| NPI number | 1558360552 |
|---|---|
| LBN Legal business name | Welch, Susan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Apr 17th, 2008 - about 17 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 | 1558360552 | NPPES |
| Florida | Other | 66466 | BCBS |
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