Asch, Susan Mcclellan
Asch, Susan Mcclellan is an sole proprietor health care provider with primary practice located at 34 North Oaks Rd , North Oaks MN 55127-6325. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Asch, Susan Mcclellan can be contacted via phone (612) 414-7800.Contact Information
Primary practice address
34 North Oaks Rd
North Oaks MN 55127-6325
Phone: (612) 414-7800
Fax: (651) 275-3325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 33053 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31241 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 31241 | Minnesota |
Profile Details
NPI number | 1841275377 |
---|---|
LBN Legal business name | Asch, Susan Mcclellan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 7th, 2005 |
Last updated | May 3rd, 2023 - about last year |
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 | 1841275377 | NPPES |
Wisconsin | MEDICAID | 31793300 | |
Wisconsin | MEDICAID | 974785100 |
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