Powell, Susan Lisker

Powell, Susan Lisker is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Susan Lisker can be contacted via phone (360) 923-7000.

Contact Information

Primary practice address
700 Lilly Rd Ne Olympia WA 98506-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00038765 Washington

Profile Details

NPI number 1134271562
LBN Legal business name Powell, Susan Lisker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated May 4th, 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 1134271562 NPPES
Other P00719024 MEDICARE RAILROAD
MEDICAID 8255291 MEDICARE RAILROAD

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