Bigelow, Susan V.

Bigelow, Susan V. is an individual health care provider with primary practice located at 705 S Mangum St , Durham NC 27701-3904. 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. Bigelow, Susan V. can be contacted via phone (919) 683-1607.

Contact Information

Primary practice address
705 S Mangum St Durham NC 27701-3904
Phone: (919) 683-1607
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 64 Colorado
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2054 North Carolina

Profile Details

NPI number 1104095967
LBN Legal business name Bigelow, Susan V.
Credentials MS, LAC, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2008
Last updated Mar 19th, 2013 - about 13 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 1104095967 NPPES
North Carolina MEDICAID 6112351

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