Adams, Susan R

Adams, Susan R is an individual health care provider with primary practice located at 637 Dunn Rd Ste 170 , Hazelwood MO 63042-1759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adams, Susan R can be contacted via phone (314) 838-5702.

Contact Information

Primary practice address
637 Dunn Rd Ste 170 Hazelwood MO 63042-1759
Fax: (314) 839-5596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 100517 Missouri

Profile Details

NPI number 1871584474
LBN Legal business name Adams, Susan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 8th, 2019 - about 5 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 1871584474 NPPES
Missouri Other 127450 GHP
Missouri Other 172501 GHP
Missouri Other 28144 GHP
Missouri Other F37554 GHP
Missouri Other 000000010005 GHP
Missouri Other 4226213 GHP
Missouri Other 0400395 GHP

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