Nesselroth, Susan
Nesselroth, Susan is an individual health care provider with primary practice located at 3600 Washington St , Hollywood FL 33021-8216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Nesselroth, Susan can be contacted via phone (954) 518-5300.Contact Information
Primary practice address
3600 Washington St
Hollywood FL 33021-8216
Phone: (954) 518-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME 77770 | Florida |
Profile Details
| NPI number | 1962498071 |
|---|---|
| LBN Legal business name | Nesselroth, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Mar 17th, 2021 - about 3 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 | 1962498071 | NPPES |
| Florida | Other | U1350 | MEDICARE CORE |
| Florida | MEDICAID | 267782200 | MEDICARE CORE |
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