Williams, Susan Lynn
Williams, Susan Lynn is an individual health care provider with primary practice located at 134 Executive Dr Suite 3, Lafayette IN 47905. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Williams, Susan Lynn can be contacted via phone (765) 448-6489.Contact Information
Primary practice address
134 Executive Dr Suite 3
Lafayette IN 47905
Phone: (765) 448-6489
Fax: (765) 448-9775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 008001427A | Indiana |
Profile Details
| NPI number | 1255473856 |
|---|---|
| LBN Legal business name | Williams, Susan Lynn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Sep 19th, 2011 - about 13 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 | 1255473856 | NPPES |
| Other | 10787204 | CAQH | |
| MEDICAID | 200129120A | CAQH | |
| Other | 350054830 | CAQH |
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