Schmidt, Susan Disselkoen
Schmidt, Susan Disselkoen is an individual health care provider with primary practice located at 215 S Parkside Dr Ste 215 , Colorado Springs CO 80910-3131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Schmidt, Susan Disselkoen can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
215 S Parkside Dr Ste 215
Colorado Springs CO 80910-3131
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 91908 | Colorado |
Profile Details
| NPI number | 1750375226 |
|---|---|
| LBN Legal business name | Schmidt, Susan Disselkoen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jun 21st, 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 | 1750375226 | NPPES |
| Colorado | Other | 025437 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 01037765 | KAISER COMMERCIAL NUMBER |
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