Hustad, Susan C

Hustad, Susan C is an individual health care provider with primary practice located at 425 E 5350 S Ste 335, Ogden UT 84405-6990. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Hustad, Susan C can be contacted via phone (801) 475-8600.

Contact Information

Primary practice address
425 E 5350 S Ste 335 Ogden UT 84405-6990
Phone: (801) 475-8600
Fax: (801) 475-8686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 377470-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 377470-1205 Utah

Profile Details

NPI number 1770589145
LBN Legal business name Hustad, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - 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 1770589145 NPPES
Utah Other 377470-1205 PHYSICAN & SURGEON LICENS
Utah Other 377470-8905 PHYSICAN & SURGEON LICENS

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