Dummer, Susan L

Dummer, Susan L is an individual health care provider with primary practice located at 980 W. Ironwood Suite 101, Coeur D'Alene ID 83814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dummer, Susan L can be contacted via phone (208) 765-1455.

Contact Information

Primary practice address
980 W. Ironwood Suite 101 Coeur D'Alene ID 83814
Phone: (208) 765-1455
Fax: (208) 667-8655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP203A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X N-19918 Idaho

Profile Details

NPI number 1073540605
LBN Legal business name Dummer, Susan L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 28th, 2010 - about 16 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 1073540605 NPPES
Idaho MEDICAID 002791900

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