Fish, Susan Kersey
Fish, Susan Kersey is an individual health care provider with primary practice located at 333 N. Rivershire Dr. Suite 160, Conroe TX 77304-2711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Fish, Susan Kersey can be contacted via phone (936) 441-2020.Contact Information
Primary practice address
333 N. Rivershire Dr. Suite 160
Conroe TX 77304-2711
Phone: (936) 441-2020
Fax: (936) 756-0656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M1092 | Texas |
Profile Details
| NPI number | 1568411593 |
|---|---|
| LBN Legal business name | Fish, Susan Kersey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Mar 19th, 2021 - 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 | 1568411593 | NPPES |
| Texas | MEDICAID | 173629002 |
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