Ingraham, Susan Elizabeth

Ingraham, Susan Elizabeth is an individual health care provider with primary practice located at 1314 S King St Suite 415, Honolulu HI 96814-1956. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Ingraham, Susan Elizabeth can be contacted via phone (808) 592-3250.

Contact Information

Primary practice address
1314 S King St Suite 415 Honolulu HI 96814-1956
Phone: (808) 592-3250
Fax: (808) 592-3251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 35-088687 Ohio
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 18713 Hawaii

Profile Details

NPI number 1841445921
LBN Legal business name Ingraham, Susan Elizabeth
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Jul 21st, 2016 - about 10 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 1841445921 NPPES
Ohio MEDICAID 3147866

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