Alias, Susy
Alias, Susy is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr Jefferson Barracks, Va, Saint Louis MO 63125-4181. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Alias, Susy can be contacted via phone (314) 894-6629.Contact Information
Primary practice address
1 Jefferson Barracks Dr Jefferson Barracks, Va
Saint Louis MO 63125-4181
Phone: (314) 894-6629
Fax: (314) 845-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | R9895 | Missouri |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | R9895 | Missouri |
Profile Details
| NPI number | 1750332680 |
|---|---|
| LBN Legal business name | Alias, Susy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750332680 | NPPES |
| Missouri | Other | NONE | PHYSICIAN |
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