Dib, Suzanne Y

Dib, Suzanne Y is an individual health care provider with primary practice located at 2950 Fairway Dr Suite 2, Altoona PA 16602-4494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dib, Suzanne Y can be contacted via phone (814) 942-9494.

Contact Information

Primary practice address
2950 Fairway Dr Suite 2 Altoona PA 16602-4494
Fax: (814) 942-4403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD440358 Pennsylvania

Profile Details

NPI number 1033315569
LBN Legal business name Dib, Suzanne Y
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033315569 NPPES
Pennsylvania Other RES0000 RESIDENT

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