Wilkinson, Susan C

Wilkinson, Susan C is an individual health care provider with primary practice located at 2018 Pulliam St , San Angelo TX 76905-5148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Wilkinson, Susan C can be contacted via phone (325) 659-7290.

Contact Information

Primary practice address
2018 Pulliam St San Angelo TX 76905-5148
Fax: (325) 659-7291
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 245826 Texas

Profile Details

NPI number 1184815342
LBN Legal business name Wilkinson, Susan C
Credentials PHD, RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Dec 19th, 2012 - about 12 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 1184815342 NPPES
Texas MEDICAID 191554802

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