Francisco, Susan M

Francisco, Susan M is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Francisco, Susan M can be contacted via phone (731) 422-0239.

Contact Information

Primary practice address
700 W Forest Ave Ste 300 Jackson TN 38301-3937
Fax: (731) 422-0223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 18474 Tennessee

Profile Details

NPI number 1366437956
LBN Legal business name Francisco, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366437956 NPPES
Tennessee MEDICAID 3058743

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