Fogger, Susanne Eileen
Fogger, Susanne Eileen is an individual health care provider with primary practice located at 908 20Th St S , Birmingham AL 35205-2610. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fogger, Susanne Eileen can be contacted via phone (205) 934-1917.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1090016 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP9176788 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1-090016 | Alabama |
Profile Details
| NPI number | 1013913805 |
|---|---|
| LBN Legal business name | Fogger, Susanne Eileen |
| Credentials | ARNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2005 |
| Last updated | Feb 1st, 2024 - about 2 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 | 1013913805 | NPPES |
| Alabama | Other | 051115546 | BCBS |
| Alabama | MEDICAID | 127930 | BCBS |
| Alabama | MEDICAID | 03930867 | BCBS |
| Alabama | Other | 051115548 | BCBS |
| Alabama | Other | 051115547 | BCBS |
| Alabama | MEDICAID | 130733 | BCBS |
| Alabama | Other | 051115544 | BCBS |
| Alabama | MEDICAID | 127933 | BCBS |
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