O'Leary, Susan Lane

O'Leary, Susan Lane is an individual health care provider with primary practice located at 1470 Medical Pkwy Suite 160, Carson City NV 89703-4648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. O'Leary, Susan Lane can be contacted via phone (775) 445-7650.

Contact Information

Primary practice address
1470 Medical Pkwy Suite 160 Carson City NV 89703-4648
Phone: (775) 445-7650
Fax: (775) 882-4206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 12741 Nevada
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A105681 California

Profile Details

NPI number 1760697940
LBN Legal business name O'Leary, Susan Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Sep 18th, 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 1760697940 NPPES
Nevada MEDICAID 1760697940

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