Tangires, Susan Ann
Tangires, Susan Ann is an individual health care provider with primary practice located at 800 Ingleside Ave , Catonsville MD 21228-1722. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tangires, Susan Ann can be contacted via phone (410) 744-5937.Contact Information
Primary practice address
800 Ingleside Ave
Catonsville MD 21228-1722
Phone: (410) 744-5937
Fax: (410) 744-9423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA343 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1260 | Maryland |
Profile Details
| NPI number | 1033171061 |
|---|---|
| LBN Legal business name | Tangires, Susan Ann |
| Credentials | LCPC LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 14th, 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 | 1033171061 | NPPES |
| Other | 0089 | BS FEDERAL GROUP S003 | |
| Other | 328196 | BS FEDERAL GROUP S003 | |
| Other | 487506 | BS FEDERAL GROUP S003 | |
| Other | 11554503 | BS FEDERAL GROUP S003 | |
| Other | 721298000 | BS FEDERAL GROUP S003 | |
| Other | 522229157 | BS FEDERAL GROUP S003 | |
| Other | 2124028 | BS FEDERAL GROUP S003 | |
| MEDICAID | 333404000 | BS FEDERAL GROUP S003 | |
| Other | 7284589 | BS FEDERAL GROUP S003 | |
| Other | 100072697 | BS FEDERAL GROUP S003 | |
| Other | 63662901 | BS FEDERAL GROUP S003 |
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