Morrison, Susan Laurie
Morrison, Susan Laurie is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Morrison, Susan Laurie can be contacted via phone (360) 501-3500.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 501-3500
Fax: (360) 501-3555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00042745 | Washington |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00042745 | Washington |
Profile Details
NPI number | 1164420261 |
---|---|
LBN Legal business name | Morrison, Susan Laurie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Dec 8th, 2016 - about 8 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 | 1164420261 | NPPES |
Washington | MEDICAID | 8377178 | |
Washington | Other | P00392953 | |
Washington | Other | 0217052 | |
Washington | MEDICAID | 022615 | |
Washington | Other | 8943479 |
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