Lee, Susanne Nussen
Lee, Susanne Nussen is an individual health care provider with primary practice located at 3805 W Chester Pike Bldg D Suite 120, Newtown Square PA 19073-2329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Lee, Susanne Nussen can be contacted via phone (800) 257-0117.Contact Information
Primary practice address
3805 W Chester Pike Bldg D Suite 120
Newtown Square PA 19073-2329
Phone: (800) 257-0117
Fax: (610) 550-3079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | C1-0008614 | Delaware |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD421782 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD421782 | Pennsylvania |
Profile Details
| NPI number | 1609852177 |
|---|---|
| LBN Legal business name | Lee, Susanne Nussen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Aug 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609852177 | NPPES |
| Other | 11517014 | CAQH |
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