Marzolf, Susan M
Marzolf, Susan M is an individual health care provider with primary practice located at 801 Pole Line Rd W Ste 3880 , Twin Falls ID 83301-5811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Marzolf, Susan M can be contacted via phone (208) 814-8500.Contact Information
Primary practice address
801 Pole Line Rd W Ste 3880
Twin Falls ID 83301-5811
Phone: (208) 814-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 33703 | Arizona |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-7035 | Idaho |
Profile Details
| NPI number | 1568447019 |
|---|---|
| LBN Legal business name | Marzolf, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 20th, 2022 - about 2 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 | 1568447019 | NPPES |
| Arizona | Other | 86080015085259C424 | TRIWEST |
| Arizona | Other | P00251227 | TRIWEST |
| Arizona | MEDICAID | 916455 | TRIWEST |
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