Prouty, Susan

Prouty, Susan is an individual health care provider with primary practice located at 548 Se Jackson St , Roseburg OR 97470-4983. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Prouty, Susan can be contacted via phone (541) 672-2691.

Contact Information

Primary practice address
548 Se Jackson St Roseburg OR 97470-4983
Phone: (541) 672-2691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1467998369
LBN Legal business name Prouty, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2017
Last updated Jan 10th, 2024 - about 2 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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