Messerly, Susan O

Messerly, Susan O is an individual health care provider with primary practice located at 143 S Gibson St , Medford WI 54451-1622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Messerly, Susan O can be contacted via phone (715) 748-2121.

Contact Information

Primary practice address
143 S Gibson St Medford WI 54451-1622
Phone: (715) 748-2121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33749 Wisconsin

Profile Details

NPI number 1447261706
LBN Legal business name Messerly, Susan O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 16th, 2012 - about 13 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 1447261706 NPPES
Wisconsin MEDICAID 30056100

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