Komorowski, Susan M

Komorowski, Susan M is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 4600, Kettering OH 45429-1273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Komorowski, Susan M can be contacted via phone (937) 296-0167.

Contact Information

Primary practice address
3533 Southern Blvd Ste 4600 Kettering OH 45429-1273
Phone: (937) 296-0167
Fax: (937) 297-2330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 056772 Ohio

Profile Details

NPI number 1730143835
LBN Legal business name Komorowski, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730143835 NPPES
Other 000000009385 ANTHEM
MEDICAID 0723417 ANTHEM

Popular Providers