Mehta, Susan Miskovich

Mehta, Susan Miskovich is an individual health care provider with primary practice located at 219 Lephillip Court Ne , Concord NC 28025-2900. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mehta, Susan Miskovich can be contacted via phone (704) 403-7770.

Contact Information

Primary practice address
219 Lephillip Court Ne Concord NC 28025-2900
Phone: (704) 403-7770
Fax: (704) 403-7779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 076981 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 67386 North Carolina

Profile Details

NPI number 1295726602
LBN Legal business name Mehta, Susan Miskovich
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 28th, 2012 - about 14 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 1295726602 NPPES
North Carolina Other 232009 MEDICARE PTAN, GROUP CMCNE

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