Hines, Susan
Hines, Susan is an individual health care provider with primary practice located at 865 W Lake Dr Ste 200 , Mount Airy NC 27030-2135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Hines, Susan can be contacted via phone (336) 783-6935.Contact Information
Primary practice address
865 W Lake Dr Ste 200
Mount Airy NC 27030-2135
Phone: (336) 783-6935
Fax: (336) 783-6934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2000-00229 | North Carolina |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2000-00229 | North Carolina |
Profile Details
| NPI number | 1619947215 |
|---|---|
| LBN Legal business name | Hines, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 11th, 2024 - about 2 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 | 1619947215 | NPPES |
| Other | 3608287 | UNITED HEALTH CARE | |
| Other | 900004457 | UNITED HEALTH CARE | |
| Other | 37156 | UNITED HEALTH CARE | |
| MEDICAID | 89126FM | UNITED HEALTH CARE | |
| Other | 126FM | UNITED HEALTH CARE | |
| Other | 4474243 | UNITED HEALTH CARE | |
| MEDICAID | 006005306 | UNITED HEALTH CARE | |
| Other | 3097131 | UNITED HEALTH CARE |
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