Balducci, Susan M

Balducci, Susan M is an individual health care provider with primary practice located at 275 Nichols Rd , Fitchburg MA 01420-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Balducci, Susan M can be contacted via phone (978) 343-5048.

Contact Information

Primary practice address
275 Nichols Rd Fitchburg MA 01420-1931
Phone: (978) 343-5048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 124241 Massachusetts

Profile Details

NPI number 1700850864
LBN Legal business name Balducci, Susan M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 19th, 2011 - about 15 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 1700850864 NPPES
Massachusetts MEDICAID 0702501

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