Active NPIIndividual provider

Ms. Susan L Debalsi, PA-C

Physician Assistant, Medical in Fairhaven, Massachusetts

NPI Number1649318288
Practice location
200 Mill Road, Suite 190, Fairhaven, MA 02719
Fax
508-973-2176
Last updated
October 31, 2024

Susan Lynne Debalsi is a Physician Assistant, Medical based in Fairhaven, MA. Susan Lynne Debalsi practices in Fairhaven, MA and has the professional credentials of PA-C. The NPI Number for Susan Lynne Debalsi is 1649318288 and holds a License No. 1212 (MA). The current practice location address for Susan Lynne Debalsi is 200 Mill Road, Suite 190, Fairhaven, MA 02719 and can be reached out via phone at 508-973-2160 and via fax at 508-973-2176.

Provider Profile Details

NPI Number
1649318288
Provider Name
Susan Lynne Debalsi
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
200 Mill Road, Suite 190, Fairhaven, MA 02719
Phone Number
508-973-2160
Fax Number
508-973-2176
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
February 4, 2007
Last Update Date
October 31, 2024
Certification Date
October 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Mill Road
Suite 190
Fairhaven, MA 02719
Zip
02719
Phone Number
508-973-2160
Fax Number
508-973-2176
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD
Suite 180
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-3000
Fax Number
508-973-2001

License Information

License Number (1)
1212
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA00663
License State (2)
RI
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
PA1212
License State (3)
MA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan L Debalsi, PA-C?

The NPI number of Ms. Susan L Debalsi, PA-C is 1649318288. It was assigned on February 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan L Debalsi, PA-C?

Ms. Susan L Debalsi, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1212.

Where does Ms. Susan L Debalsi, PA-C practice?

The practice location is 200 Mill Road, Suite 190, Fairhaven, MA 02719. The office can be reached at 508-973-2160 (phone) or 508-973-2176 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649318288 directly on the NPPES registry website.

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