Luedke, Susan L
Luedke, Susan L is an individual health care provider with primary practice located at 6435 Chippewa St , Saint Louis MO 63109-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Luedke, Susan L can be contacted via phone (315) 353-1870.Contact Information
Primary practice address
6435 Chippewa St
Saint Louis MO 63109-2104
Phone: (315) 353-1870
Fax: (314) 353-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | R8493 | Missouri |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | R8493 | Missouri |
Profile Details
| NPI number | 1679519508 |
|---|---|
| LBN Legal business name | Luedke, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 15th, 2010 - about 16 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 | 1679519508 | NPPES |
| Missouri | MEDICAID | 200731842 |
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