Bengtsson, Susan S
Bengtsson, Susan S is an sole proprietor health care provider with primary practice located at 9350 Camelot Dr , Fort Myers FL 33919-7980. 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. Bengtsson, Susan S can be contacted via phone (239) 481-5437.Contact Information
Primary practice address
9350 Camelot Dr
Fort Myers FL 33919-7980
Phone: (239) 481-5437
Fax: (239) 481-1902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN742462 | Florida |
Profile Details
| NPI number | 1033191747 |
|---|---|
| LBN Legal business name | Bengtsson, Susan S |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 27th, 2017 - about 9 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 | 1033191747 | NPPES |
| Florida | Other | 000013683B | HUMANA |
| Florida | MEDICAID | 301807500 | HUMANA |
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