Cecconi, Suzanne Marie

Cecconi, Suzanne Marie is an individual health care provider with primary practice located at 81St Medical Group/Sgoc 301 Fisher St. Room 1A-132, Keesler Afb MS 39534. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cecconi, Suzanne Marie can be contacted via phone (228) 376-0402.

Contact Information

Primary practice address
81St Medical Group/Sgoc 301 Fisher St. Room 1A-132 Keesler Afb MS 39534
Phone: (228) 376-0402
Fax: (228) 376-0198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G85948 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00024934 Alabama

Profile Details

NPI number 1346299088
LBN Legal business name Cecconi, Suzanne Marie
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 29th, 2007 - about 18 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 1346299088 NPPES
California Other G85948 MEDICAL LICENSE
California Other 00024934 MEDICAL LICENSE

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