Ballou, Susan Clayton

Ballou, Susan Clayton is an sole proprietor health care provider with primary practice located at 3 Hillcrest Park Rd , Old Greenwich CT 06870-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ballou, Susan Clayton can be contacted via phone (203) 202-7532.

Contact Information

Primary practice address
3 Hillcrest Park Rd Old Greenwich CT 06870-1003
Phone: (203) 202-7532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 004268 Connecticut

Profile Details

NPI number 1588947170
LBN Legal business name Ballou, Susan Clayton
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2011
Last updated Sep 21st, 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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