Ljunghag, Susan E
Ljunghag, Susan E is an individual health care provider with primary practice located at 10103 Ridgegate Parkway Suite 200, Lone Tree CO 80124-5525. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Ljunghag, Susan E can be contacted via phone (303) 788-6657.Contact Information
Primary practice address
10103 Ridgegate Parkway Suite 200
Lone Tree CO 80124-5525
Phone: (303) 788-6657
Fax: (303) 788-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25658 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25658 | Colorado |
Profile Details
| NPI number | 1255486296 |
|---|---|
| LBN Legal business name | Ljunghag, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255486296 | NPPES |
| Colorado | MEDICAID | 01256585 | |
| Colorado | Other | 160054944 |
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