Balk-Kradel, Susan Lynne

Balk-Kradel, Susan Lynne is an individual health care provider with primary practice located at 1000 W 11Th St , Panama City FL 32401-2042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Balk-Kradel, Susan Lynne can be contacted via phone (850) 913-8313.

Contact Information

Primary practice address
1000 W 11Th St Panama City FL 32401-2042
Phone: (850) 913-8313
Fax: (850) 913-8314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0066176 Florida

Profile Details

NPI number 1669552352
LBN Legal business name Balk-Kradel, Susan Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1669552352 NPPES
Other 104029 VALUEOPTIONS
Other 32498 VALUEOPTIONS
Other 1072896 VALUEOPTIONS

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