Eysmann, Susan

Eysmann, Susan is an individual health care provider with primary practice located at 1177 Summer St 5Th Floor, Stamford CT 06905-5572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Eysmann, Susan can be contacted via phone (203) 353-1133.

Contact Information

Primary practice address
1177 Summer St 5Th Floor Stamford CT 06905-5572
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 035539 Connecticut

Profile Details

NPI number 1841225612
LBN Legal business name Eysmann, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 1st, 2010 - about 14 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 1841225612 NPPES
Connecticut MEDICAID 001355397

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