Paulson, Susan D

Paulson, Susan D is an individual health care provider with primary practice located at 3905 Dakota St , Alexandria MN 56308-3391. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Paulson, Susan D can be contacted via phone (320) 763-4135.

Contact Information

Primary practice address
3905 Dakota St Alexandria MN 56308-3391
Phone: (320) 763-4135
Fax: (866) 431-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27714 Minnesota

Profile Details

NPI number 1265412662
LBN Legal business name Paulson, Susan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 23rd, 2021 - about 5 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 1265412662 NPPES
Minnesota MEDICAID 492267100
Minnesota Other 080050456

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