Minear, Susan Ann

Minear, Susan Ann is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Minear, Susan Ann can be contacted via phone (617) 414-5946.

Contact Information

Primary practice address
850 Harrison Ave Yacc5 Boston MA 02118-4001
Phone: (617) 414-5946
Fax: (617) 414-4541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77543 Massachusetts
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 77543 Massachusetts

Profile Details

NPI number 1952361842
LBN Legal business name Minear, Susan Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 13th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952361842 NPPES
Massachusetts MEDICAID 110055093A

Popular Providers