Saint John, Susan A
Saint John, Susan A is an sole proprietor health care provider with primary practice located at 146-01 45 Avenue Room 211, Flushing NY 11355. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Saint John, Susan A can be contacted via phone (718) 670-5775.Contact Information
Primary practice address
146-01 45 Avenue Room 211
Flushing NY 11355
Phone: (718) 670-5775
Fax: (718) 321-6141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 196522 | New York |
Profile Details
| NPI number | 1417913054 |
|---|---|
| LBN Legal business name | Saint John, Susan A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Jan 22nd, 2013 - about 12 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 | 1417913054 | NPPES |
| New York | MEDICAID | 01979973 |
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