Anderson, Susan Faith

Anderson, Susan Faith is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 400, Pueblo CO 81003-2760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Susan Faith can be contacted via phone (719) 543-4000.

Contact Information

Primary practice address
1600 N Grand Ave Suite 400 Pueblo CO 81003-2760
Fax: (719) 543-1041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2168 Colorado

Profile Details

NPI number 1437146479
LBN Legal business name Anderson, Susan Faith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 15th, 2014 - about 10 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 1437146479 NPPES
Colorado MEDICAID 93826575

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