Cross, Susan
Cross, Susan is an individual health care provider with primary practice located at 1205 Marion Ave , Tallahassee FL 32303-6513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cross, Susan can be contacted via phone (850) 681-3887.Contact Information
Primary practice address
1205 Marion Ave
Tallahassee FL 32303-6513
Phone: (850) 681-3887
Fax: (850) 681-0569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME45773 | Florida |
Profile Details
| NPI number | 1225088701 |
|---|---|
| LBN Legal business name | Cross, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Aug 22nd, 2013 - about 12 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 | 1225088701 | NPPES |
| Florida | MEDICAID | 043835900 |
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