Villers, Susan Gayle

Villers, Susan Gayle is an individual health care provider with primary practice located at 800 Pennsylvania Ave , Charleston WV 25302-3351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Villers, Susan Gayle can be contacted via phone (304) 414-1880.

Contact Information

Primary practice address
800 Pennsylvania Ave Charleston WV 25302-3351
Phone: (304) 414-1880
Fax: (304) 414-1886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F10171032 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN57336 West Virginia

Profile Details

NPI number 1720574254
LBN Legal business name Villers, Susan Gayle
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Oct 16th, 2018 - about 8 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 1720574254 NPPES
West Virginia MEDICAID 1720574254

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