Sussman, Craig
Sussman, Craig is an sole proprietor health care provider with primary practice located at 111 Old Road To Nine Acre Corner , Concord MA 01742-4141. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Sussman, Craig can be contacted via phone (978) 369-1113.Contact Information
Primary practice address
111 Old Road To Nine Acre Corner
Concord MA 01742-4141
Phone: (978) 369-1113
Fax: (978) 369-0908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN238050 | Massachusetts |
Profile Details
| NPI number | 1154591030 |
|---|---|
| LBN Legal business name | Sussman, Craig |
| Credentials | FNP-C,PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2008 |
| Last updated | Feb 24th, 2016 - about 10 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 | 1154591030 | NPPES |
| Massachusetts | Other | 238050 | LICENSE |
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