Mclellan, Susan L F

Mclellan, Susan L F is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-2600. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mclellan, Susan L F can be contacted via phone (409) 772-0644.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-2600
Phone: (409) 772-0644
Fax: (409) 772-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD.020057 Louisiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 020057 Louisiana

Profile Details

NPI number 1932292042
LBN Legal business name Mclellan, Susan L F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 7th, 2020 - about 4 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 1932292042 NPPES
Louisiana MEDICAID 1698563

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