Black, Susan Ann

Black, Susan Ann is an individual health care provider with primary practice located at 1504 Galena St , Aurora CO 80010-2219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Black, Susan Ann can be contacted via phone (303) 617-2300.

Contact Information

Primary practice address
1504 Galena St Aurora CO 80010-2219
Phone: (303) 617-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29718 Colorado

Profile Details

NPI number 1497810386
LBN Legal business name Black, Susan Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Dec 15th, 2022 - about 4 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 1497810386 NPPES
Colorado MEDICAID 01297183

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