Garstang, Susan V

Garstang, Susan V is an individual health care provider with primary practice located at 500 Foothill Blvd # Mc11E , Salt Lake City UT 84148-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, which is considered as her primary health care specialty. Garstang, Susan V can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address
500 Foothill Blvd # Mc11E Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X J9503 Texas
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 25MA06828700 New Jersey

Profile Details

NPI number 1235119686
LBN Legal business name Garstang, Susan V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated May 6th, 2022 - about 2 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 1235119686 NPPES
Texas MEDICAID K00003612

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