Krzymowski, Susan A
Krzymowski, Susan A is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd. , Gallup NM 87301-1337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Krzymowski, Susan A can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E. Nizhoni Blvd.
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 726-8740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 95-PA13 | New Mexico |
Profile Details
| NPI number | 1518995950 |
|---|---|
| LBN Legal business name | Krzymowski, Susan A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 24th, 2008 - about 18 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 | 1518995950 | NPPES |
| New Mexico | MEDICAID | 000S3344 | |
| New Mexico | MEDICAID | 419087 |
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