Anderson, Susan K

Anderson, Susan K is an individual health care provider with primary practice located at 1203 E Ross Byp Suite A, Tahlequah OK 74464-4133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Anderson, Susan K can be contacted via phone (918) 453-1234.

Contact Information

Primary practice address
1203 E Ross Byp Suite A Tahlequah OK 74464-4133
Phone: (918) 453-1234
Fax: (918) 453-9107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 057769 Georgia

Profile Details

NPI number 1568412310
LBN Legal business name Anderson, Susan K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 20th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568412310 NPPES
Oklahoma MEDICAID 200317560A
Oklahoma MEDICAID 454914001B
Oklahoma MEDICAID 454914001A
Oklahoma Other 04BDCRW
Oklahoma MEDICAID G57769

Popular Providers