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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750332680 NPPES
Missouri Other NONE PHYSICIAN

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