Gonzalez, Susan
Gonzalez, Susan is an sole proprietor health care provider with primary practice located at 2550 University Ave W Ste 229N , Saint Paul MN 55114-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gonzalez, Susan can be contacted via phone (651) 645-3115.Contact Information
Primary practice address
2550 University Ave W Ste 229N
Saint Paul MN 55114-1902
Phone: (651) 645-3115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1088 | Minnesota |
Profile Details
| NPI number | 1457506677 |
|---|---|
| LBN Legal business name | Gonzalez, Susan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2008 |
| Last updated | Aug 28th, 2023 - about 3 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 | 1457506677 | NPPES |
| Michigan | Other | 5008775780 | BCBSMI |
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