Bingham, Susan S
Bingham, Susan S is an individual health care provider with primary practice located at 7728 Palm River Rd , Tampa FL 33619-4215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bingham, Susan S can be contacted via phone (813) 653-6100.Contact Information
Primary practice address
7728 Palm River Rd
Tampa FL 33619-4215
Phone: (813) 653-6100
Fax: (813) 938-6428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP2980002 | Florida |
Profile Details
| NPI number | 1053424945 |
|---|---|
| LBN Legal business name | Bingham, Susan S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Mar 26th, 2018 - about 8 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 | 1053424945 | NPPES |
| Florida | MEDICAID | 305059900 |
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