Shuck, Susan M
Shuck, Susan M is an individual health care provider with primary practice located at 2051 Hamill Rd Suite 211, Hixson TN 37343-6614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shuck, Susan M can be contacted via phone (423) 702-9240.Contact Information
Primary practice address
2051 Hamill Rd Suite 211
Hixson TN 37343-6614
Phone: (423) 702-9240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD25053 | Tennessee |
Profile Details
| NPI number | 1134107659 |
|---|---|
| LBN Legal business name | Shuck, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Nov 19th, 2010 - about 16 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 | 1134107659 | NPPES |
| Tennessee | Other | MD2053 | MEDICAL LICENSE |
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