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Contact Information

SUSAN E BUNNER, CNP
859 N MAIN ST
MALTA, OH43758-9007
 Phone: 740-962-6111
 Fax: 740-962-1657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for SUSAN E BUNNER · (Female)

NPI # 1225024060
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 09/27/2005
Last updated 06/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA.00853NP
  • OH License # RN133264
  • OH Medicaid 3293887
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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