Inniss, Susan A
Inniss, Susan A is an individual health care provider with primary practice located at 132 S 10Th St 285K, 2Nd Floor, Philadelphia PA 19107-5244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Inniss, Susan A can be contacted via phone (215) 503-5642.Contact Information
Primary practice address
132 S 10Th St 285K, 2Nd Floor
Philadelphia PA 19107-5244
Phone: (215) 503-5642
Fax: (215) 503-4817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | MD057153L | Pennsylvania |
Profile Details
| NPI number | 1588652531 |
|---|---|
| LBN Legal business name | Inniss, Susan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jun 9th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588652531 | NPPES |
| Pennsylvania | MEDICAID | 001635756 | |
| Pennsylvania | MEDICAID | 10052005426152 |
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