Worsham, Susan D

Worsham, Susan D is an individual health care provider with primary practice located at 3300 Nw Expressway Fl 2 , Oklahoma City OK 73112-4418. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Worsham, Susan D can be contacted via phone (405) 949-3417.

Contact Information

Primary practice address
3300 Nw Expressway Fl 2 Oklahoma City OK 73112-4418
Phone: (405) 949-3417
Fax: (405) 552-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1245233113
LBN Legal business name Worsham, Susan D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 24th, 2024 - about 2 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 1245233113 NPPES
Oklahoma MEDICAID 100107320A
Oklahoma Other P00145015

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