Dick, Susan Elizabeth
Dick, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 230 Neptune Blvd , Neptune NJ 07753-4433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dick, Susan Elizabeth can be contacted via phone (732) 774-4040.Contact Information
Primary practice address
230 Neptune Blvd
Neptune NJ 07753-4433
Phone: (732) 774-4040
Fax: (732) 774-2143
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA45379 | New Jersey |
Profile Details
NPI number | 1669442935 |
---|---|
LBN Legal business name | Dick, Susan Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2006 |
Last updated | Jun 18th, 2015 - about 9 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 | 1669442935 | NPPES |
New Jersey | MEDICAID | 3298302 |
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