Alex, Susan
Alex, Susan is an individual health care provider with primary practice located at 221 Sterling Farms Dr. , Jackson TN 38305-3609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Alex, Susan can be contacted via phone (731) 668-4337.Contact Information
Primary practice address
221 Sterling Farms Dr.
Jackson TN 38305-3609
Phone: (731) 668-4337
Fax: (731) 661-0124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 29292 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29292 | Tennessee |
Profile Details
| NPI number | 1003864117 |
|---|---|
| LBN Legal business name | Alex, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 11th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003864117 | NPPES |
| Tennessee | MEDICAID | 09016261 |
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