Dennis, Susan C
Dennis, Susan C is an individual health care provider with primary practice located at 12 S 8Th St , Yakima WA 98901-3020. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Dennis, Susan C can be contacted via phone (509) 454-4143.Contact Information
Primary practice address
12 S 8Th St
Yakima WA 98901-3020
Phone: (509) 454-4143
Fax: (509) 454-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP60003340 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30001811 | Washington |
Profile Details
| NPI number | 1407926421 |
|---|---|
| LBN Legal business name | Dennis, Susan C |
| Credentials | ARNP, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Aug 30th, 2012 - about 14 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 | 1407926421 | NPPES |
| Washington | MEDICAID | 8107823 | |
| Washington | Other | G8898132 |
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