Henley, Susan Elaine
Henley, Susan Elaine is an individual health care provider with primary practice located at 325 E Fontanero St , Colorado Springs CO 80907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Henley, Susan Elaine can be contacted via phone (719) 636-3829.Contact Information
Primary practice address
325 E Fontanero St
Colorado Springs CO 80907
Phone: (719) 636-3829
Fax: (719) 636-1387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 37503 | Colorado |
Profile Details
| NPI number | 1083683049 |
|---|---|
| LBN Legal business name | Henley, Susan Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1083683049 | NPPES |
| Colorado | MEDICAID | 55200869 |
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