Moultrie, Susan Michelle
Moultrie, Susan Michelle is an sole proprietor health care provider with primary practice located at 12900 Park Plaza Dr , Cerritos CA 90703-9329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moultrie, Susan Michelle can be contacted via phone (866) 646-3553.Contact Information
Primary practice address
12900 Park Plaza Dr
Cerritos CA 90703-9329
Phone: (866) 646-3553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 420583 | California |
Profile Details
| NPI number | 1629352901 |
|---|---|
| LBN Legal business name | Moultrie, Susan Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2011 |
| Last updated | Oct 13th, 2016 - about 10 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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