Korsberg, Sue A

Korsberg, Sue A is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Korsberg, Sue A can be contacted via phone (727) 767-4403.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4403
Fax: (727) 767-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Pediatrics 163WP0200X ARNP960292 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0960292 Florida

Profile Details

NPI number 1720131634
LBN Legal business name Korsberg, Sue A
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 10th, 2011 - about 15 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 1720131634 NPPES
Florida MEDICAID 311185700
Florida MEDICAID 303292200
Florida MEDICAID 811643100

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