Roe, Susan J.

Roe, Susan J. is an individual health care provider with primary practice located at 1175 Nininger Rd , Hastings MN 55033-1056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as her primary health care specialty. Roe, Susan J. can be contacted via phone (651) 480-4100.

Contact Information

Primary practice address
1175 Nininger Rd Hastings MN 55033-1056
Phone: (651) 480-4100
Fax: (651) 480-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 30221 Minnesota

Profile Details

NPI number 1174592331
LBN Legal business name Roe, Susan J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 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 1174592331 NPPES
Minnesota Other 138T5RO BLUE CROSS
Minnesota Other 984811034012 BLUE CROSS
Minnesota Other 11-00304 BLUE CROSS
Minnesota Other HP42296 BLUE CROSS

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