Dungan, Susan M
Dungan, Susan M is an individual health care provider with primary practice located at 1811 E Bert Kouns Suite 100, Shreveport LA 71105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dungan, Susan M can be contacted via phone (318) 222-3695.Contact Information
Primary practice address
1811 E Bert Kouns Suite 100
Shreveport LA 71105
Phone: (318) 222-3695
Fax: (318) 424-0717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN089268 AP04806 | Louisiana |
Profile Details
| NPI number | 1780751479 |
|---|---|
| LBN Legal business name | Dungan, Susan M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jun 17th, 2009 - about 17 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 | 1780751479 | NPPES |
| Louisiana | MEDICAID | 1409537 |
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