Pohl, Susan D.

Pohl, Susan D. is an individual health care provider with primary practice located at 555 Foothill Dr # 310 , Salt Lake City UT 84112-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pohl, Susan D. can be contacted via phone (254) 585-8000.

Contact Information

Primary practice address
555 Foothill Dr # 310 Salt Lake City UT 84112-1106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7251166 Utah

Profile Details

NPI number 1043271422
LBN Legal business name Pohl, Susan D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 11th, 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 1043271422 NPPES
Texas Other 080176900 RR/MEDICARE
Texas Other 8B4707 RR/MEDICARE
Texas MEDICAID 1462996-01 RR/MEDICARE
Texas Other 1462996-02 RR/MEDICARE

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