Burkhead, Susanna R

Burkhead, Susanna R is an individual health care provider with primary practice located at 3700 Washington Avenue , Evansville IN 47750-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Burkhead, Susanna R can be contacted via phone (812) 485-4000.

Contact Information

Primary practice address
3700 Washington Avenue Evansville IN 47750-0001
Phone: (812) 485-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01066004A Indiana

Profile Details

NPI number 1962496661
LBN Legal business name Burkhead, Susanna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 30th, 2011 - about 13 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 1962496661 NPPES
Kentucky MEDICAID 7100111320
Kentucky MEDICAID 200978080

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