Mcgillis, Susan Teri
Mcgillis, Susan Teri is an sole proprietor health care provider with primary practice located at 230 Harrisburg Ave Ste 4, Lancaster PA 17603-2959. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Mcgillis, Susan Teri can be contacted via phone (717) 399-9800.Contact Information
Primary practice address
230 Harrisburg Ave Ste 4
Lancaster PA 17603-2959
Phone: (717) 399-9800
Fax: (717) 399-7613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35058536M | Ohio |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD430176 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD430176 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD430176 | Pennsylvania |
Profile Details
| NPI number | 1750345278 |
|---|---|
| LBN Legal business name | Mcgillis, Susan Teri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 22nd, 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 | 1750345278 | NPPES |
| Ohio | MEDICAID | 0761046 |
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