Myers, Susana E

Myers, Susana E is an individual health care provider with primary practice located at 7205 265Th St Nw , Stanwood WA 98292-6221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Myers, Susana E can be contacted via phone (425) 258-3900.

Contact Information

Primary practice address
7205 265Th St Nw Stanwood WA 98292-6221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OP60146176 Washington

Profile Details

NPI number 1710164439
LBN Legal business name Myers, Susana E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710164439 NPPES
Washington MEDICAID 2008112

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