Sussman, James Herbert

Sussman, James Herbert is an individual health care provider with primary practice located at 1651 Galisteo St Suite 8, Santa Fe NM 87505-4752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Sussman, James Herbert can be contacted via phone (505) 820-9870.

Contact Information

Primary practice address
1651 Galisteo St Suite 8 Santa Fe NM 87505-4752
Phone: (505) 820-9870
Fax: (505) 983-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A97192 New Mexico

Profile Details

NPI number 1285624593
LBN Legal business name Sussman, James Herbert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 30th, 2023 - about 2 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 1285624593 NPPES
New Mexico MEDICAID 000E5646
New Mexico Other 348510103

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