Moeller, Susan
Moeller, Susan is an individual health care provider with primary practice located at 3000 Mack Rd , Fairfield OH 45014-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Moeller, Susan can be contacted via phone (513) 672-3309.Contact Information
Primary practice address
3000 Mack Rd
Fairfield OH 45014-5335
Phone: (513) 672-3309
Fax: (513) 672-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35068844 | Ohio |
Profile Details
| NPI number | 1922008994 |
|---|---|
| LBN Legal business name | Moeller, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922008994 | NPPES |
| Ohio | MEDICAID | 2360109 |
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