Woodlan, Susanne T

Woodlan, Susanne T is an sole proprietor health care provider with primary practice located at 18111 Prince Philip Dr Ste 111, Olney MD 20832-1503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as her primary health care specialty. Woodlan, Susanne T can be contacted via phone (301) 774-6500.

Contact Information

Primary practice address
18111 Prince Philip Dr Ste 111 Olney MD 20832-1503
Phone: (301) 774-6500
Fax: (301) 774-5461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207VB0002X D0050262 Maryland

Profile Details

NPI number 1447253679
LBN Legal business name Woodlan, Susanne T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Dec 15th, 2020 - about 6 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 1447253679 NPPES
Maryland MEDICAID 376596200

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