Smith, Susan Alice
Smith, Susan Alice is an individual health care provider with primary practice located at 165 Tor Ct , Pittsfield MA 01201-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Susan Alice can be contacted via phone (413) 447-2862.Contact Information
Primary practice address
165 Tor Ct
Pittsfield MA 01201-3001
Phone: (413) 447-2862
Fax: (413) 395-7990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 156578 | Massachusetts |
Profile Details
| NPI number | 1053431940 |
|---|---|
| LBN Legal business name | Smith, Susan Alice |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jan 23rd, 2013 - about 13 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 | 1053431940 | NPPES |
| Massachusetts | Other | MA156578 | MASS LICENSE |
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