Richner, Susan M

Richner, Susan M is an individual health care provider with primary practice located at 3050 Centre Pointe Dr Suite 200, Roseville MN 55113-1102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Richner, Susan M can be contacted via phone (651) 639-9150.

Contact Information

Primary practice address
3050 Centre Pointe Dr Suite 200 Roseville MN 55113-1102
Phone: (651) 639-9150
Fax: (651) 639-9153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 30998 Minnesota
Other Service Providers / Specialist 174400000X 30998 Minnesota

Profile Details

NPI number 1265476444
LBN Legal business name Richner, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 4th, 2016 - about 9 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 1265476444 NPPES
Minnesota MEDICAID 466795600

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