Scott, Susan L

Scott, Susan L is an individual health care provider with primary practice located at 3412 E Hebron Pkwy Ste 106 , Carrollton TX 75010-4451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Scott, Susan L can be contacted via phone (972) 810-1620.

Contact Information

Primary practice address
3412 E Hebron Pkwy Ste 106 Carrollton TX 75010-4451
Phone: (972) 810-1620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004674 Washington

Profile Details

NPI number 1750323788
LBN Legal business name Scott, Susan L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 17th, 2019 - about 7 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 1750323788 NPPES
Washington MEDICAID 8405854
Washington Other 8936787
Washington Other 7570SC
Washington Other 0191713

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