Blair, Susan Diane
Blair, Susan Diane is an individual health care provider with primary practice located at 4200 N Rodney Parham Rd Ste 101 , Little Rock AR 72212-2458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Blair, Susan Diane can be contacted via phone (501) 224-5658.Contact Information
Primary practice address
4200 N Rodney Parham Rd Ste 101
Little Rock AR 72212-2458
Phone: (501) 224-5658
Fax: (501) 224-8114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C7661 | Arkansas |
Profile Details
| NPI number | 1942209572 |
|---|---|
| LBN Legal business name | Blair, Susan Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Oct 15th, 2019 - about 6 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 | 1942209572 | NPPES |
| Arkansas | Other | 08-20033 | UNITED HEALTHCARE |
| Arkansas | Other | 180030604 | UNITED HEALTHCARE |
| Arkansas | Other | 5B955 | UNITED HEALTHCARE |
| Arkansas | Other | 4514242 | UNITED HEALTHCARE |
| Arkansas | Other | 11825 | UNITED HEALTHCARE |
| Arkansas | Other | 13629000000 | UNITED HEALTHCARE |
| Arkansas | Other | 54157 | UNITED HEALTHCARE |
| Arkansas | Other | CJ3133 | UNITED HEALTHCARE |
| Arkansas | Other | 2454752 | UNITED HEALTHCARE |
| Arkansas | MEDICAID | 125599001 | UNITED HEALTHCARE |
| Arkansas | Other | C7661 | UNITED HEALTHCARE |
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