Roper, Susan St.Clair
Roper, Susan St.Clair is an individual health care provider with primary practice located at 2467 Enterprise Rd Ste A , Clearwater FL 33763-1724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Roper, Susan St.Clair can be contacted via phone (727) 791-1411.Contact Information
Primary practice address
2467 Enterprise Rd Ste A
Clearwater FL 33763-1724
Phone: (727) 791-1411
Fax: (727) 791-1419
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 46341 | Florida |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME46341 | Florida |
Profile Details
NPI number | 1114039732 |
---|---|
LBN Legal business name | Roper, Susan St.Clair |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jan 13th, 2022 - about 2 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 | 1114039732 | NPPES |
Other | 1114039732 | NPI | |
Other | 79962 | NPI | |
Other | K1008 | NPI |
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