Boeger, Susan
Boeger, Susan is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Boeger, Susan can be contacted via phone (417) 781-2727.Contact Information
Primary practice address
100 Mercy Way
Joplin MO 64804-4524
Phone: (417) 781-2727
Fax: (417) 625-2279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 069778 | Missouri |
Profile Details
| NPI number | 1568439164 |
|---|---|
| LBN Legal business name | Boeger, Susan |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Apr 17th, 2015 - about 11 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 | 1568439164 | NPPES |
| Oklahoma | MEDICAID | 100786960B | |
| Oklahoma | MEDICAID | 100249250C | |
| Oklahoma | MEDICAID | 912750924 |
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