Kaczorowski, Susan Lynn

Kaczorowski, Susan Lynn is an individual health care provider with primary practice located at 25 Church St , Wilkes Barre PA 18702-3507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Kaczorowski, Susan Lynn can be contacted via phone (570) 808-8831.

Contact Information

Primary practice address
25 Church St Wilkes Barre PA 18702-3507
Phone: (570) 808-8831
Fax: (570) 808-8845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD044881E Pennsylvania

Profile Details

NPI number 1689675431
LBN Legal business name Kaczorowski, Susan Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 10th, 2020 - about 4 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 1689675431 NPPES
West Virginia MEDICAID 3810000934
West Virginia MEDICAID 2233827
West Virginia MEDICAID 0014069690003

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