Nondahl, Susan R
Nondahl, Susan R is an individual health care provider with primary practice located at 4410 Regent St , Madison WI 53705-4901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nondahl, Susan R can be contacted via phone (608) 233-9746.Contact Information
Primary practice address
4410 Regent St
Madison WI 53705-4901
Phone: (608) 233-9746
Fax: (608) 233-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24853-020 | Wisconsin |
Profile Details
| NPI number | 1255397923 |
|---|---|
| LBN Legal business name | Nondahl, Susan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Apr 29th, 2008 - about 17 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 | 1255397923 | NPPES |
| Wisconsin | MEDICAID | 30615600 |
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