Roeder, Susan L
Roeder, Susan L is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Roeder, Susan L can be contacted via phone (319) 356-2353.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242-1009
Phone: (319) 356-2353
Fax: (319) 353-8383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO-03218 | Iowa |
Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | DO-03218 | Iowa |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 03218 | Iowa |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | DO-03218 | Iowa |
Profile Details
NPI number | 1487615340 |
---|---|
LBN Legal business name | Roeder, Susan L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Sep 11th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487615340 | NPPES |
Iowa | MEDICAID | 0274845 | |
Iowa | Other | 50708 |
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