Susini, Laurence M

Susini, Laurence M is an sole proprietor health care provider with primary practice located at 155 Calle Portal #100, Sierra Vista AZ 85635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Susini, Laurence M can be contacted via phone (520) 458-6088.

Contact Information

Primary practice address
155 Calle Portal #100 Sierra Vista AZ 85635
Phone: (520) 458-6088
Fax: (520) 458-3983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17611 Arizona

Profile Details

NPI number 1588603179
LBN Legal business name Susini, Laurence M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Dec 2nd, 2009 - about 17 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 1588603179 NPPES
Arizona MEDICAID 284985
Arizona Other AZ0779560
Arizona Other 2Z2281

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