Cassidy, Suzanne B.

Cassidy, Suzanne B. is an individual health care provider with primary practice located at 2900 Fresno St Suite 101, Fresno CA 93721-1439. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Cassidy, Suzanne B. can be contacted via phone (559) 227-4472.

Contact Information

Primary practice address
2900 Fresno St Suite 101 Fresno CA 93721-1439
Phone: (559) 227-4472
Fax: (559) 227-4217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G85862 California
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G85862 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G85862 California

Profile Details

NPI number 1043328115
LBN Legal business name Cassidy, Suzanne B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 24th, 2011 - about 14 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 1043328115 NPPES
California MEDICAID 00G858620

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