Brallier, Susan
Brallier, Susan is an individual health care provider with primary practice located at 780 E Washington Blvd Ste 202, Crescent City CA 95531-8397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brallier, Susan can be contacted via phone (707) 464-6715.Contact Information
Primary practice address
780 E Washington Blvd Ste 202
Crescent City CA 95531-8397
Phone: (707) 464-6715
Fax: (707) 464-9593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2439 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20A10428 | California |
Profile Details
| NPI number | 1083627517 |
|---|---|
| LBN Legal business name | Brallier, Susan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Aug 5th, 2008 - about 16 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 | 1083627517 | NPPES |
| California | Other | 20A10428 | LICENSE |
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