White, Susannah

White, Susannah is an individual health care provider with primary practice located at 4111 Ben Franklin Blvd , Durham NC 27704-2141. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. White, Susannah can be contacted via phone (919) 782-3456.

Contact Information

Primary practice address
4111 Ben Franklin Blvd Durham NC 27704-2141
Phone: (919) 782-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-03439 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03439 North Carolina

Profile Details

NPI number 1982962908
LBN Legal business name White, Susannah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Feb 18th, 2014 - about 12 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 1982962908 NPPES
North Carolina Other NC7589A MEDICARE

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