Ishikawa, Susan N

Ishikawa, Susan N is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Ishikawa, Susan N can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1400 S Germantown Rd Germantown TN 38138-2205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 15818 Tennessee

Profile Details

NPI number 1225024953
LBN Legal business name Ishikawa, Susan N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated May 1st, 2018 - about 7 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 1225024953 NPPES
Arkansas MEDICAID 165780001
Arkansas MEDICAID 02700342
Arkansas MEDICAID Q017898

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