Nugent, Susan Denise
Nugent, Susan Denise is an individual health care provider with primary practice located at 3024 Breakers Dr Apt A, Corona Del Mar CA 92625-3254. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Nugent, Susan Denise can be contacted via phone (949) 933-7501.Contact Information
Primary practice address
3024 Breakers Dr Apt A
Corona Del Mar CA 92625-3254
Phone: (949) 933-7501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA7045 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C43237 | California |
Profile Details
| NPI number | 1982658514 |
|---|---|
| LBN Legal business name | Nugent, Susan Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Dec 14th, 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 | 1982658514 | NPPES |
| California | MEDICAID | 00C432370 | |
| California | Other | C43237 |
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