Koo, Susan T

Koo, Susan T is an individual health care provider with primary practice located at 8626 Lower Sacramento Rd Ste 41 , Stockton CA 95210-1835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Koo, Susan T can be contacted via phone (209) 478-2487.

Contact Information

Primary practice address
8626 Lower Sacramento Rd Ste 41 Stockton CA 95210-1835
Phone: (209) 478-2487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X A87500 California

Profile Details

NPI number 1386173698
LBN Legal business name Koo, Susan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Jun 8th, 2017 - 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.

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