Abbott, Susan R
Abbott, Susan R is an sole proprietor health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Susan R can be contacted via phone (304) 636-3300.Contact Information
Primary practice address
812 Gorman Ave
Elkins WV 26241-3181
Phone: (304) 636-3300
Fax: (304) 630-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12763 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 104911 | West Virginia |
Profile Details
| NPI number | 1952579963 |
|---|---|
| LBN Legal business name | Abbott, Susan R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Apr 26th, 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 | 1952579963 | NPPES |
| West Virginia | MEDICAID | 1952579963 |
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