Vild, Susan L

Vild, Susan L is an individual health care provider with primary practice located at 2815 Dustin Rd Ste C, Oregon OH 43616-3344. 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. Vild, Susan L can be contacted via phone (419) 691-6781.

Contact Information

Primary practice address
2815 Dustin Rd Ste C Oregon OH 43616-3344
Phone: (419) 691-6781
Fax: (419) 691-0082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP05403 Ohio

Profile Details

NPI number 1801899083
LBN Legal business name Vild, Susan L
Credentials MSN, RN, FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 30th, 2012 - about 14 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 1801899083 NPPES
Ohio MEDICAID 2223061

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