Alex, Susan

Alex, Susan is an individual health care provider with primary practice located at 221 Sterling Farms Dr. , Jackson TN 38305-3609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Alex, Susan can be contacted via phone (731) 668-4337.

Contact Information

Primary practice address
221 Sterling Farms Dr. Jackson TN 38305-3609
Phone: (731) 668-4337
Fax: (731) 661-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 29292 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29292 Tennessee

Profile Details

NPI number 1003864117
LBN Legal business name Alex, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 11th, 2009 - about 16 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 1003864117 NPPES
Tennessee MEDICAID 09016261

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