Carlson, Susan Spevack
Carlson, Susan Spevack is an sole proprietor health care provider with primary practice located at 222 Shotgun Alley , Sitka AK 99835-1867. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carlson, Susan Spevack can be contacted via phone (907) 747-6474.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1759 | Alaska |
Profile Details
| NPI number | 1932200946 |
|---|---|
| LBN Legal business name | Carlson, Susan Spevack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jan 7th, 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 | 1932200946 | NPPES |
| Alaska | MEDICAID | MD1759 |
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