Grenz, Susan K

Grenz, Susan K is an sole proprietor health care provider with primary practice located at 779 C Via Los Altos , Laguna Woods CA 92637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grenz, Susan K can be contacted via phone (727) 798-6640.

Contact Information

Primary practice address
779 C Via Los Altos Laguna Woods CA 92637
Phone: (727) 798-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18697 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12279 North Dakota

Profile Details

NPI number 1013989870
LBN Legal business name Grenz, Susan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Dec 16th, 2013 - about 11 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 1013989870 NPPES
Other 102600 AUMED
Other 123062 AUMED
Other 3000067 AUMED
Other 622728 AUMED
Other 3386236002 AUMED
Other 123063 AUMED
Other 62527 AUMED
Other 592712571 AUMED

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