Mattson, Susan Elizabeth
Mattson, Susan Elizabeth is an individual health care provider with primary practice located at 221 Fitzgerald Dr , New Bedford MA 02745-3426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mattson, Susan Elizabeth can be contacted via phone (508) 996-4600.Contact Information
Primary practice address
221 Fitzgerald Dr
New Bedford MA 02745-3426
Phone: (508) 996-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 138353 | Massachusetts |
Profile Details
| NPI number | 1518992320 |
|---|---|
| LBN Legal business name | Mattson, Susan Elizabeth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518992320 | NPPES |
| Massachusetts | MEDICAID | 0701386 |
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