Dellert, Susan F
Dellert, Susan F is an individual health care provider with primary practice located at 11 South Rd Ste 120 , Farmington CT 06032-2483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Dellert, Susan F can be contacted via phone (860) 837-6350.Contact Information
Primary practice address
11 South Rd Ste 120
Farmington CT 06032-2483
Phone: (860) 837-6350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | MA06455000 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 31703 | Connecticut |
Profile Details
| NPI number | 1649353350 |
|---|---|
| LBN Legal business name | Dellert, Susan F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 2nd, 2018 - about 8 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 | 1649353350 | NPPES |
| New Jersey | MEDICAID | 7812205 |
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