Conley, Susan B
Conley, Susan B is an individual health care provider with primary practice located at 3601 A St , Philadelphia PA 19134-1043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Conley, Susan B can be contacted via phone (215) 427-5190.Contact Information
Primary practice address
3601 A St
Philadelphia PA 19134-1043
Phone: (215) 427-5190
Fax: (215) 427-5351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD063184L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 25MA07963200 | New Jersey |
Profile Details
| NPI number | 1639198435 |
|---|---|
| LBN Legal business name | Conley, Susan B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jun 18th, 2008 - 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 | 1639198435 | NPPES |
| Pennsylvania | MEDICAID | 0016642200003 | |
| Pennsylvania | MEDICAID | 7527608 | |
| Pennsylvania | Other | 2748937000 | |
| Pennsylvania | Other | 60025871 |
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