Herzog, Susan Kay

Herzog, Susan Kay is an sole proprietor health care provider with primary practice located at 1110 College Dr Suite 215, Bismarck ND 58501-1207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herzog, Susan Kay can be contacted via phone (701) 471-1044.

Contact Information

Primary practice address
1110 College Dr Suite 215 Bismarck ND 58501-1207
Phone: (701) 471-1044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 513 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1992747042
LBN Legal business name Herzog, Susan Kay
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Aug 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992747042 NPPES
Other N16133 RR MEDICARE PIN
MEDICAID 19187 RR MEDICARE PIN
Other 016133 RR MEDICARE PIN

Popular Providers