Shrader, Susanne
Shrader, Susanne is an sole proprietor health care provider with primary practice located at 1031 Farmington Ave , Farmington CT 06032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shrader, Susanne can be contacted via phone (860) 677-2550.Contact Information
Primary practice address
1031 Farmington Ave
Farmington CT 06032
Phone: (860) 677-2550
Fax: (860) 677-4975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 023080 | Connecticut |
Profile Details
| NPI number | 1528028818 |
|---|---|
| LBN Legal business name | Shrader, Susanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 17th, 2007 - about 19 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 | 1528028818 | NPPES |
| Other | 234211 | MAN HEALTH | |
| Other | 010023080CT05 | MAN HEALTH | |
| Other | P2146295 | MAN HEALTH |
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