Scarberry, Susan L

Scarberry, Susan L is an individual health care provider with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Scarberry, Susan L can be contacted via phone (701) 234-4036.

Contact Information

Primary practice address
700 1St Ave S Fargo ND 58103-1802
Fax: (701) 234-4160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 44259 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 8834 North Dakota

Profile Details

NPI number 1023039245
LBN Legal business name Scarberry, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated May 1st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023039245 NPPES
North Dakota MEDICAID 11663
North Dakota MEDICAID 704410100

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