Sarracino, Susan M

Sarracino, Susan M is an individual health care provider with primary practice located at W180 N8085 Town Hall Rd , Menomonee Falls WI 53051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sarracino, Susan M can be contacted via phone (262) 251-1000.

Contact Information

Primary practice address
W180 N8085 Town Hall Rd Menomonee Falls WI 53051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30253-020 Wisconsin

Profile Details

NPI number 1962486613
LBN Legal business name Sarracino, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 15th, 2009 - about 15 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 1962486613 NPPES
Other 050038350 RAIL ROAD MEDICARE
MEDICAID 31505900 RAIL ROAD MEDICARE

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