Dillender, Susannah P

Dillender, Susannah P is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Dillender, Susannah P can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7456
Fax: (757) 668-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101242052 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 04-30821 Kansas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101242052 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2001016343 Missouri

Profile Details

NPI number 1598722548
LBN Legal business name Dillender, Susannah P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 25th, 2020 - about 5 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 1598722548 NPPES
Kansas MEDICAID 200268270A
Kansas MEDICAID 1598722548
Kansas MEDICAID 208756908

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