Ditter, Susan Marie
Ditter, Susan Marie is an individual health care provider with primary practice located at 2221 Enborg Ln , San Jose CA 95128-2608. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ditter, Susan Marie can be contacted via phone (408) 885-6220.Contact Information
Primary practice address
2221 Enborg Ln
San Jose CA 95128-2608
Phone: (408) 885-6220
Fax: (408) 885-3977
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G87843 | California |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101236675 | Virginia |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 024803 | Georgia |
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 0101236675 | Virginia |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 024803 | Georgia |
Profile Details
NPI number | 1710188438 |
---|---|
LBN Legal business name | Ditter, Susan Marie |
Credentials | M.D., M.P.H. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Apr 3rd, 2008 - about 16 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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