Strayer, Sue A

Strayer, Sue A is an individual health care provider with primary practice located at 1800 E Lake Shore Drive St Marys-Decatur, Decatur IL 62521-3883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Strayer, Sue A can be contacted via phone (217) 464-2966.

Contact Information

Primary practice address
1800 E Lake Shore Drive St Marys-Decatur Decatur IL 62521-3883
Phone: (217) 464-2966
Fax: (217) 464-3193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Illinois

Profile Details

NPI number 1376504365
LBN Legal business name Strayer, Sue A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376504365 NPPES
Illinois MEDICAID 0360800151

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