O'Malley, Susan Elaine

O'Malley, Susan Elaine is an individual health care provider with primary practice located at 2410 Samaritan Dr Suite 201, San Jose CA 95124-3909. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. O'Malley, Susan Elaine can be contacted via phone (408) 371-9010.

Contact Information

Primary practice address
2410 Samaritan Dr Suite 201 San Jose CA 95124-3909
Phone: (408) 371-9010
Fax: (408) 371-2633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12011 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 260226 California

Profile Details

NPI number 1568429447
LBN Legal business name O'Malley, Susan Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 5th, 2007 - about 17 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 1568429447 NPPES
California Other 0PA120110 RAILROAD MEDICARE

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