Anderson-Nelson, Susan J

Anderson-Nelson, Susan J is an individual health care provider with primary practice located at 2015 N Main St , Wheaton IL 60187-3152. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Anderson-Nelson, Susan J can be contacted via phone (630) 668-8250.

Contact Information

Primary practice address
2015 N Main St Wheaton IL 60187-3152
Phone: (630) 668-8250
Fax: (630) 668-8916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36-079057 Illinois

Profile Details

NPI number 1013904986
LBN Legal business name Anderson-Nelson, Susan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 5th, 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 1013904986 NPPES
Illinois Other 180012234 RR MEDICARE
Illinois MEDICAID 036079057 RR MEDICARE

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