Eliason, Susan L.

Eliason, Susan L. is an individual health care provider with primary practice located at 2805 5Th St Suite 210, Rapid City SD 57701-6003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Eliason, Susan L. can be contacted via phone (605) 343-2267.

Contact Information

Primary practice address
2805 5Th St Suite 210 Rapid City SD 57701-6003
Phone: (605) 343-2267
Fax: (605) 342-0418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4440 South Dakota

Profile Details

NPI number 1710988514
LBN Legal business name Eliason, Susan L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 17th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710988514 NPPES
South Dakota MEDICAID 6600340

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