Liddle, Susan E.

Liddle, Susan E. is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Liddle, Susan E. can be contacted via phone (859) 258-4673.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504
Fax: (859) 258-6539
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 26691 Kentucky

Profile Details

NPI number 1386660140
LBN Legal business name Liddle, Susan E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 5th, 2019 - about 5 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 1386660140 NPPES
Kentucky MEDICAID 64266919

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