Erredge, Susan Elizabeth

Erredge, Susan Elizabeth is an individual health care provider with primary practice located at Route 301 North 21 B Ave , Zuni NM 87327-0467. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Erredge, Susan Elizabeth can be contacted via phone (505) 782-4431.

Contact Information

Primary practice address
Route 301 North 21 B Ave Zuni NM 87327-0467
Phone: (505) 782-4431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0299 Arizona
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1431 Texas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016-003857 Illinois

Profile Details

NPI number 1174597397
LBN Legal business name Erredge, Susan Elizabeth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174597397 NPPES
New Mexico MEDICAID 54555361
New Mexico MEDICAID 1295578-06

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