Fernandez, Susan V.
Fernandez, Susan V. is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Fernandez, Susan V. can be contacted via phone (203) 932-5711.Contact Information
Primary practice address
950 Campbell Ave
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 20A7878 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 049502 | Connecticut |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 049502 | Connecticut |
Profile Details
| NPI number | 1467526772 |
|---|---|
| LBN Legal business name | Fernandez, Susan V. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Nov 12th, 2012 - about 13 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 | 1467526772 | NPPES |
| California | MEDICAID | 020A78780 |
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