Christensen, Susan Mary

Christensen, Susan Mary is an sole proprietor health care provider with primary practice located at 66 Pavilion Ave , Providence RI 02905-1522. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Christensen, Susan Mary can be contacted via phone (401) 461-9110.

Contact Information

Primary practice address
66 Pavilion Ave Providence RI 02905-1522
Phone: (401) 461-9110
Fax: (401) 461-9194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN03905 Rhode Island

Profile Details

NPI number 1780274662
LBN Legal business name Christensen, Susan Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2021
Last updated Jan 25th, 2021 - about 5 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 1780274662 NPPES
Rhode Island MEDICAID LPN03905

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