Kirchdoerffer, Susan
Kirchdoerffer, Susan is an individual health care provider with primary practice located at 1098 W Baltimore Pike Suite 3101, Media PA 19063-5139. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kirchdoerffer, Susan can be contacted via phone (610) 891-9277.Contact Information
Primary practice address
1098 W Baltimore Pike Suite 3101
Media PA 19063-5139
Phone: (610) 891-9277
Fax: (610) 891-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C2-0005798 | Delaware |
Profile Details
| NPI number | 1033120746 |
|---|---|
| LBN Legal business name | Kirchdoerffer, Susan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 22nd, 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 | 1033120746 | NPPES |
| Pennsylvania | Other | 350616UCA | MEDICARE |
| Pennsylvania | MEDICAID | 0001166503 | MEDICARE |
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