Worsham, Susan D
Worsham, Susan D is an individual health care provider with primary practice located at 3300 Nw Expressway Fl 2 , Oklahoma City OK 73112-4418. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Worsham, Susan D can be contacted via phone (405) 949-3417.Contact Information
Primary practice address
3300 Nw Expressway Fl 2
Oklahoma City OK 73112-4418
Phone: (405) 949-3417
Fax: (405) 552-5165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
NPI number | 1245233113 |
---|---|
LBN Legal business name | Worsham, Susan D |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | May 24th, 2024 - about last year |
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 | 1245233113 | NPPES |
Oklahoma | MEDICAID | 100107320A | |
Oklahoma | Other | P00145015 |
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