Mcconnell, Susan Deanna
Mcconnell, Susan Deanna is an individual health care provider with primary practice located at 504 Red Banks Rd Ste C , Greenville NC 27858-5766. 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. Mcconnell, Susan Deanna can be contacted via phone (252) 321-3579.Contact Information
Primary practice address
504 Red Banks Rd Ste C
Greenville NC 27858-5766
Phone: (252) 321-3579
Fax: (252) 321-3576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102815 | North Carolina |
Profile Details
| NPI number | 1306820782 |
|---|---|
| LBN Legal business name | Mcconnell, Susan Deanna |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Mar 16th, 2021 - about 5 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 | 1306820782 | NPPES |
| Other | 1306820782 | NPI |
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