Haney, Susan Theresa

Haney, Susan Theresa is an individual health care provider with primary practice located at 2400 Lancaster Dr Ne , Salem OR 97305-1221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Haney, Susan Theresa can be contacted via phone (503) 813-2000.

Contact Information

Primary practice address
2400 Lancaster Dr Ne Salem OR 97305-1221
Phone: (503) 813-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 052948 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD23325 Oregon

Profile Details

NPI number 1700912003
LBN Legal business name Haney, Susan Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Apr 11th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700912003 NPPES
Oregon MEDICAID 275193
Oregon Other 0000ZGBJD
Oregon Other 1225016561

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