Fogger, Susanne Eileen

Fogger, Susanne Eileen is an individual health care provider with primary practice located at 908 20Th St S , Birmingham AL 35205-2610. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fogger, Susanne Eileen can be contacted via phone (205) 934-1917.

Contact Information

Primary practice address
908 20Th St S Birmingham AL 35205-2610
Phone: (205) 934-1917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1090016 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9176788 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-090016 Alabama

Profile Details

NPI number 1013913805
LBN Legal business name Fogger, Susanne Eileen
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2005
Last updated Feb 1st, 2024 - about 7 months 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 1013913805 NPPES
Alabama Other 051115546 BCBS
Alabama MEDICAID 127930 BCBS
Alabama MEDICAID 03930867 BCBS
Alabama Other 051115548 BCBS
Alabama Other 051115547 BCBS
Alabama MEDICAID 130733 BCBS
Alabama Other 051115544 BCBS
Alabama MEDICAID 127933 BCBS

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