Minikel, Susan C
Minikel, Susan C is an individual health care provider with primary practice located at 15905 Heather Hill Dr , Brookfield WI 53005-2267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Minikel, Susan C can be contacted via phone (262) 781-6965.Contact Information
Primary practice address
15905 Heather Hill Dr
Brookfield WI 53005-2267
Phone: (262) 781-6965
Fax: (262) 781-6965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25365-020 | Wisconsin |
Profile Details
| NPI number | 1134144025 |
|---|---|
| LBN Legal business name | Minikel, Susan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Apr 18th, 2008 - about 16 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 | 1134144025 | NPPES |
| Wisconsin | MEDICAID | 31368600 |
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