Harbutt, Susana Ines Smith
Harbutt, Susana Ines Smith is an individual health care provider with primary practice located at 20101 Lake Chabot Rd Fl 4 , Castro Valley CA 94546. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Harbutt, Susana Ines Smith can be contacted via phone (510) 204-1844.Contact Information
Primary practice address
20101 Lake Chabot Rd Fl 4
Castro Valley CA 94546
Phone: (510) 204-1844
Fax: (510) 506-7729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A136741 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | A136741 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 92819 | Georgia |
Profile Details
| NPI number | 1588007678 |
|---|---|
| LBN Legal business name | Harbutt, Susana Ines Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2013 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588007678 | NPPES |
| California | Other | A136741 | STATE MEDICAL LICENSE |
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