Windmill, Sue M

Windmill, Sue M is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Windmill, Sue M can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Department Of Otolaryngology Jackson MS 39216-4500
Fax: (601) 815-6985
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0161 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3325 Mississippi

Profile Details

NPI number 1194795096
LBN Legal business name Windmill, Sue M
Credentials AU D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 5th, 2014 - about 10 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 1194795096 NPPES
Indiana MEDICAID 200256380A
Indiana Other 50000009
Indiana MEDICAID 70000112
Indiana MEDICAID 155478
Indiana Other 1115678
Indiana MEDICAID 06631761

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