Cordes, Susan R

Cordes, Susan R is an individual health care provider with primary practice located at 10200 Trinity Pkwy Ste 201 , Stockton CA 95219-7288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Cordes, Susan R can be contacted via phone (209) 952-0483.

Contact Information

Primary practice address
10200 Trinity Pkwy Ste 201 Stockton CA 95219-7288
Phone: (209) 952-0483
Fax: (209) 478-5785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01043929A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G129761 California

Profile Details

NPI number 1285668707
LBN Legal business name Cordes, Susan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 30th, 2020 - about 4 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 1285668707 NPPES
Indiana MEDICAID 200167750

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