Mcdonald, Susan E

Mcdonald, Susan E is an individual health care provider with primary practice located at 10004 204Th Ave E #3400, Bonney Lake WA 98391-6539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcdonald, Susan E can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
10004 204Th Ave E #3400 Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00034053 Washington

Profile Details

NPI number 1740343995
LBN Legal business name Mcdonald, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jan 25th, 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 1740343995 NPPES
Washington Other 9838MC REGENCE RIDER
Washington Other 0169199 REGENCE RIDER
Washington Other 5070700 REGENCE RIDER
Washington MEDICAID 8212359 REGENCE RIDER
Washington Other 8934625 REGENCE RIDER
Washington Other P00108798 REGENCE RIDER

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