Herzberg, Susan M
Herzberg, Susan M is an individual health care provider with primary practice located at 4323 Wornall Rd Radiation Oncology Dept, Kansas City MO 64111-3229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Herzberg, Susan M can be contacted via phone (816) 932-2575.Contact Information
Primary practice address
4323 Wornall Rd Radiation Oncology Dept
Kansas City MO 64111-3229
Phone: (816) 932-2575
Fax: (816) 932-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 102512 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 04-24196 | Kansas |
Profile Details
| NPI number | 1174586218 |
|---|---|
| LBN Legal business name | Herzberg, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Apr 21st, 2015 - about 11 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 | 1174586218 | NPPES |
| Missouri | MEDICAID | 207930314 | |
| Missouri | MEDICAID | 100173260B |
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