Durham, Susan Renee

Durham, Susan Renee is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc, Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Durham, Susan Renee can be contacted via phone (603) 653-9880.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc Lebanon NH 03756-1000
Phone: (603) 653-9880
Fax: (603) 650-0908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 12487 New Hampshire

Profile Details

NPI number 1619985033
LBN Legal business name Durham, Susan Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 30th, 2013 - about 13 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 1619985033 NPPES
Vermont MEDICAID 1010928
Vermont MEDICAID 30204686

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