Wilkes, Susan Catherine

Wilkes, Susan Catherine is an sole proprietor health care provider with primary practice located at 18300 Hwy 18 , Apple Valley CA 92307-2206. 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. Wilkes, Susan Catherine can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Hwy 18 Apple Valley CA 92307-2206
Phone: (760) 242-2311
Fax: (760) 242-9167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 181 California

Profile Details

NPI number 1306852462
LBN Legal business name Wilkes, Susan Catherine
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306852462 NPPES
California Other NA0001810 BLUE SHIELD
California MEDICAID RN2654950 BLUE SHIELD

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