Yusupov, Susana
Yusupov, Susana is an individual health care provider with primary practice located at 989 Burnt Tavern Rd Ste 2 , Brick NJ 08724-2014. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Yusupov, Susana can be contacted via phone (732) 836-3049.Contact Information
Primary practice address
989 Burnt Tavern Rd Ste 2
Brick NJ 08724-2014
Phone: (732) 836-3049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI03839000 | New Jersey |
Profile Details
| NPI number | 1326683277 |
|---|---|
| LBN Legal business name | Yusupov, Susana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2019 |
| Last updated | Dec 8th, 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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