Myung, Susana
Myung, Susana is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Myung, Susana can be contacted via phone (928) 639-5588.Contact Information
Primary practice address
269 S Candy Ln
Cottonwood AZ 86326-4158
Phone: (928) 639-5588
Fax: (928) 639-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35425 | Arizona |
Profile Details
| NPI number | 1649215617 |
|---|---|
| LBN Legal business name | Myung, Susana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Dec 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649215617 | NPPES |
| Arizona | MEDICAID | 145483 |
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