Damon, Susan Elizabeth
Damon, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 6909 S Holly Cir Ste 260 , Centennial CO 80112-6248. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Damon, Susan Elizabeth can be contacted via phone (303) 981-0097.Contact Information
Primary practice address
6909 S Holly Cir Ste 260
Centennial CO 80112-6248
Phone: (303) 981-0097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35186 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35186 | Colorado |
Profile Details
| NPI number | 1225100324 |
|---|---|
| LBN Legal business name | Damon, Susan Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Mar 14th, 2022 - about 3 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 | 1225100324 | NPPES |
| Colorado | MEDICAID | 01351865 |
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