Spang, Susan K

Spang, Susan K is an individual health care provider with primary practice located at 26 City Hall Mall , Medford MA 02155-4754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spang, Susan K can be contacted via phone (781) 306-5100.

Contact Information

Primary practice address
26 City Hall Mall Medford MA 02155-4754
Phone: (781) 306-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 139116 Massachusetts

Profile Details

NPI number 1548313620
LBN Legal business name Spang, Susan K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1548313620 NPPES
Massachusetts Other NP1384 BCBS
Massachusetts MEDICAID 0359050 BCBS
Massachusetts Other N469 BCBS

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