Sheridan, Susan Sophia
Sheridan, Susan Sophia is an sole proprietor health care provider with primary practice located at 1050 Linden Ave , Long Beach CA 90813-3321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sheridan, Susan Sophia can be contacted via phone (562) 491-9000.Contact Information
Primary practice address
1050 Linden Ave
Long Beach CA 90813-3321
Phone: (562) 491-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G28254 | California |
Profile Details
| NPI number | 1194789081 |
|---|---|
| LBN Legal business name | Sheridan, Susan Sophia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194789081 | NPPES |
| California | MEDICAID | 00G282540 |
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