Brallier, Susan

Brallier, Susan is an individual health care provider with primary practice located at 780 E Washington Blvd Ste 202, Crescent City CA 95531-8397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brallier, Susan can be contacted via phone (707) 464-6715.

Contact Information

Primary practice address
780 E Washington Blvd Ste 202 Crescent City CA 95531-8397
Phone: (707) 464-6715
Fax: (707) 464-9593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2439 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A10428 California

Profile Details

NPI number 1083627517
LBN Legal business name Brallier, Susan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Aug 5th, 2008 - about 18 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 1083627517 NPPES
California Other 20A10428 LICENSE

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