Riley, Suzanne M

Riley, Suzanne M is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, which is considered as her primary health care specialty. Riley, Suzanne M can be contacted via phone (920) 320-2011.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X 12189 Wisconsin

Profile Details

NPI number 1437264942
LBN Legal business name Riley, Suzanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 27th, 2011 - about 15 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 1437264942 NPPES
Wisconsin MEDICAID 31810700
Wisconsin Other 220027739

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