Brandt, Susan Jean
Brandt, Susan Jean is an individual health care provider with primary practice located at 5026 Peters Creek Pkwy , Winston Salem NC 27127-7276. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Brandt, Susan Jean can be contacted via phone (352) 442-3112.Contact Information
Primary practice address
5026 Peters Creek Pkwy
Winston Salem NC 27127-7276
Phone: (352) 442-3112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME87372 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME87372 | Florida |
Profile Details
| NPI number | 1326091646 |
|---|---|
| LBN Legal business name | Brandt, Susan Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326091646 | NPPES |
| Florida | Other | 71376 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 71376W | BLUE CROSS BLUE SHIELD |
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