Barcellos, Susan A

Barcellos, Susan A is an individual health care provider with primary practice located at 710 N 12Th St , Guthrie Center IA 50115-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Barcellos, Susan A can be contacted via phone (641) 332-2201.

Contact Information

Primary practice address
710 N 12Th St Guthrie Center IA 50115-1544
Phone: (641) 332-2201
Fax: (641) 332-2276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E96747 Iowa

Profile Details

NPI number 1235101015
LBN Legal business name Barcellos, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1235101015 NPPES
Iowa Other 25708 WELLMARK
Iowa Other IA0122 WELLMARK
Iowa MEDICAID 3075879 WELLMARK

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