Passalaqua, Susan
Passalaqua, Susan is an individual health care provider with primary practice located at 2946 E Banner Gateway Dr. , Gilbert AZ 85234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Passalaqua, Susan can be contacted via phone (480) 256-6444.Contact Information
Primary practice address
2946 E Banner Gateway Dr.
Gilbert AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-4683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 32391 | Arizona |
Profile Details
| NPI number | 1891784880 |
|---|---|
| LBN Legal business name | Passalaqua, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jan 21st, 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 | 1891784880 | NPPES |
| Arizona | MEDICAID | 843880 |
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