Conway, Susan
Conway, Susan is an individual health care provider with primary practice located at 206 E Farrel Rd Ste 270 , Lafayette LA 70508-7104. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Conway, Susan can be contacted via phone (337) 989-8795.Contact Information
Primary practice address
206 E Farrel Rd Ste 270
Lafayette LA 70508-7104
Phone: (337) 989-8795
Fax: (404) 843-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 54192 | Georgia |
Profile Details
| NPI number | 1245201334 |
|---|---|
| LBN Legal business name | Conway, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245201334 | NPPES |
| Georgia | Other | 54192 | GA STATE LICENSE |
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