Luz, Susan

Luz, Susan is an individual health care provider with primary practice located at 575 Fountain St , Pawtucket RI 02860-1246. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Luz, Susan can be contacted via phone (401) 724-0535.

Contact Information

Primary practice address
575 Fountain St Pawtucket RI 02860-1246
Phone: (401) 724-0535
Fax: (401) 722-4006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN16932 Rhode Island

Profile Details

NPI number 1982890380
LBN Legal business name Luz, Susan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - about 19 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 1982890380 NPPES
Rhode Island MEDICAID SL11739

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