Ditmyer, Susan Caroline

Ditmyer, Susan Caroline is an individual health care provider with primary practice located at 744 52Nd St Suite 5203, Oakland CA 94609-1809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ditmyer, Susan Caroline can be contacted via phone (510) 428-3885.

Contact Information

Primary practice address
744 52Nd St Suite 5203 Oakland CA 94609-1809
Phone: (510) 428-3885
Fax: (510) 597-7034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPF 10382 California

Profile Details

NPI number 1376680025
LBN Legal business name Ditmyer, Susan Caroline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 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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