Lilly, Susan Quinn

Lilly, Susan Quinn is an sole proprietor health care provider with primary practice located at 201 N Court St , Glenville WV 26351-1216. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lilly, Susan Quinn can be contacted via phone (304) 462-7386.

Contact Information

Primary practice address
201 N Court St Glenville WV 26351-1216
Fax: (304) 462-5103
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X West Virginia

Profile Details

NPI number 1235317579
LBN Legal business name Lilly, Susan Quinn
Credentials MSCCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2008
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235317579 NPPES
West Virginia MEDICAID 0155220000

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