Malott, Susan B

Malott, Susan B is an individual health care provider with primary practice located at 3130 N County Road 25A , Troy OH 45373-1337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Malott, Susan B can be contacted via phone (937) 440-4466.

Contact Information

Primary practice address
3130 N County Road 25A Troy OH 45373-1337
Phone: (937) 440-4466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-5805 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 98073 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA13729NP Ohio

Profile Details

NPI number 1255594610
LBN Legal business name Malott, Susan B
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Mar 17th, 2018 - about 6 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 1255594610 NPPES
Ohio MEDICAID 0074816

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