King, Sussy Lynn

King, Sussy Lynn is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King, Sussy Lynn can be contacted via phone (414) 325-5244.

Contact Information

Primary practice address
6901 W Edgerton Ave Greenfield WI 53220-4420
Phone: (414) 325-5244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22686 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66716 Wisconsin

Profile Details

NPI number 1942325923
LBN Legal business name King, Sussy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 1st, 2021 - about 3 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 1942325923 NPPES
Nebraska MEDICAID 10025691800
Nebraska Other 45329
Nebraska MEDICAID 10025873800
Nebraska Other 1942325923

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