Baribwegure, Suzanne
Baribwegure, Suzanne is an individual health care provider with primary practice located at 6605 N 19Th Ave Ste C , Phoenix AZ 85015-1628. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Baribwegure, Suzanne can be contacted via phone (520) 445-5832.Contact Information
Primary practice address
6605 N 19Th Ave Ste C
Phoenix AZ 85015-1628
Phone: (520) 445-5832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1194409318 |
|---|---|
| LBN Legal business name | Baribwegure, Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2023 |
| Last updated | Jun 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194409318 | NPPES |
| Arizona | MEDICAID | 92-2817467 |
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