Shrader, Susanne

Shrader, Susanne is an sole proprietor health care provider with primary practice located at 1031 Farmington Ave , Farmington CT 06032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shrader, Susanne can be contacted via phone (860) 677-2550.

Contact Information

Primary practice address
1031 Farmington Ave Farmington CT 06032
Fax: (860) 677-4975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 023080 Connecticut

Profile Details

NPI number 1528028818
LBN Legal business name Shrader, Susanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Dec 17th, 2007 - about 17 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 1528028818 NPPES
Other 234211 MAN HEALTH
Other 010023080CT05 MAN HEALTH
Other P2146295 MAN HEALTH

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