Escobar, Susana Jane

Escobar, Susana Jane is an individual health care provider with primary practice located at 4404 80Th St Ne , Marysville WA 98270-3427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Escobar, Susana Jane can be contacted via phone (360) 659-1231.

Contact Information

Primary practice address
4404 80Th St Ne Marysville WA 98270-3427
Fax: (360) 659-7267
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041997 Washington

Profile Details

NPI number 1891896262
LBN Legal business name Escobar, Susana Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 7th, 2009 - about 17 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 1891896262 NPPES
Washington MEDICAID 8349433

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