Permuth, Suzanne F

Permuth, Suzanne F is an individual health care provider with primary practice located at 1885 Plaza Dr Park Nicollet Clinic Eagan, Eagan MN 55122-2612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Permuth, Suzanne F can be contacted via phone (952) 993-2001.

Contact Information

Primary practice address
1885 Plaza Dr Park Nicollet Clinic Eagan Eagan MN 55122-2612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41401 Minnesota

Profile Details

NPI number 1265416572
LBN Legal business name Permuth, Suzanne F
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265416572 NPPES
Minnesota MEDICAID 729827700

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