Berger, Susan Marie
Berger, Susan Marie is an individual health care provider with primary practice located at 128 Lubrano Dr Suite 201, Annapolis MD 21401-7028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Berger, Susan Marie can be contacted via phone (410) 897-1941.Contact Information
Primary practice address
128 Lubrano Dr Suite 201
Annapolis MD 21401-7028
Phone: (410) 897-1941
Fax: (410) 630-8067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | D0075254 | Maryland |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 4301084883 | Michigan |
Profile Details
| NPI number | 1205879111 |
|---|---|
| LBN Legal business name | Berger, Susan Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 10th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205879111 | NPPES |
| Michigan | Other | 200000007319 | PHP OF MICHIGAN |
| Michigan | Other | 110C314380 | PHP OF MICHIGAN |
| Michigan | MEDICAID | 4857444 | PHP OF MICHIGAN |
| Michigan | Other | 1017843 | PHP OF MICHIGAN |
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