Dorman, Susan Elizabeth
Dorman, Susan Elizabeth is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Dorman, Susan Elizabeth can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-0005
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D50507 | Maryland |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 51457 | South Carolina |
Profile Details
| NPI number | 1134169253 |
|---|---|
| LBN Legal business name | Dorman, Susan Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 21st, 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 | 1134169253 | NPPES |
| Maryland | MEDICAID | 759800900 |
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