Clanzy, Susan Renee
Clanzy, Susan Renee is an sole proprietor health care provider with primary practice located at 310 N Eutaw St , Baltimore MD 21201-1807. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Clanzy, Susan Renee can be contacted via phone (410) 446-2257.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | D0060902 | Maryland |
Profile Details
| NPI number | 1568435634 |
|---|---|
| LBN Legal business name | Clanzy, Susan Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 20th, 2016 - about 8 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 | 1568435634 | NPPES |
| Maryland | MEDICAID | 3364208 00 |
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