Mcgillis, Susan Teri

Mcgillis, Susan Teri is an sole proprietor health care provider with primary practice located at 230 Harrisburg Ave Ste 4, Lancaster PA 17603-2959. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Mcgillis, Susan Teri can be contacted via phone (717) 399-9800.

Contact Information

Primary practice address
230 Harrisburg Ave Ste 4 Lancaster PA 17603-2959
Phone: (717) 399-9800
Fax: (717) 399-7613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35058536M Ohio
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD430176 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD430176 Pennsylvania
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD430176 Pennsylvania

Profile Details

NPI number 1750345278
LBN Legal business name Mcgillis, Susan Teri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Dec 22nd, 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 1750345278 NPPES
Ohio MEDICAID 0761046

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