Lin, Su Su
Lin, Su Su is an individual health care provider with primary practice located at 310 2Nd Ave Sw Ste. 107-A, Miami OK 74354-6743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lin, Su Su can be contacted via phone (918) 540-7820.Contact Information
Primary practice address
310 2Nd Ave Sw Ste. 107-A
Miami OK 74354-6743
Phone: (918) 540-7820
Fax: (918) 540-7819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24365 | Oklahoma |
Profile Details
| NPI number | 1619945391 |
|---|---|
| LBN Legal business name | Lin, Su Su |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Feb 3rd, 2016 - about 9 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 | 1619945391 | NPPES |
| Oklahoma | MEDICAID | 200056600A | |
| Oklahoma | MEDICAID | 200462050D |
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