Mcdonald, Susan B

Mcdonald, Susan B is an individual health care provider with primary practice located at 2626 N California St Ste G, Stockton CA 95204-5500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mcdonald, Susan B can be contacted via phone (209) 464-9846.

Contact Information

Primary practice address
2626 N California St Ste G Stockton CA 95204-5500
Phone: (209) 464-9846
Fax: (209) 464-4082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00037520 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C52587 California

Profile Details

NPI number 1932173119
LBN Legal business name Mcdonald, Susan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 9th, 2007 - about 17 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 1932173119 NPPES
California MEDICAID 00C525870
California Other 1700836988
California Other 0039515
California MEDICAID 8241945
California Other MC5531
California Other 5539MC

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