Okoniewski-Philips, Susan M

Okoniewski-Philips, Susan M is an individual health care provider with primary practice located at 811 2Nd St Se Suite A, Little Falls MN 56345-3505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Okoniewski-Philips, Susan M can be contacted via phone (320) 631-7200.

Contact Information

Primary practice address
811 2Nd St Se Suite A Little Falls MN 56345-3505
Fax: (320) 632-0534
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 50093 Minnesota

Profile Details

NPI number 1497767677
LBN Legal business name Okoniewski-Philips, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jun 26th, 2017 - about 7 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 1497767677 NPPES
New York MEDICAID 02462595

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