Skaparas, Susan C
Skaparas, Susan C is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301-5521. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Skaparas, Susan C can be contacted via phone (508) 894-0400.Contact Information
Primary practice address
110 Liberty St
Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 110835 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110835 | Massachusetts |
Profile Details
| NPI number | 1992761027 |
|---|---|
| LBN Legal business name | Skaparas, Susan C |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jun 13th, 2011 - about 15 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 | 1992761027 | NPPES |
| Massachusetts | Other | NP0465 | BLUE CROSS |
| Massachusetts | Other | 39430 | BLUE CROSS |
| Massachusetts | MEDICAID | 0327701 | BLUE CROSS |
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