Wyse, Susie

Wyse, Susie is an individual health care provider with primary practice located at 1101 Decatur St , Sandusky OH 44870-3335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Wyse, Susie can be contacted via phone (419) 626-7400.

Contact Information

Primary practice address
1101 Decatur St Sandusky OH 44870-3335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35052248W Ohio

Profile Details

NPI number 1588658538
LBN Legal business name Wyse, Susie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 15 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 1588658538 NPPES
Ohio MEDICAID 0674800

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