Smith, Susan E

Smith, Susan E is an individual health care provider with primary practice located at 3011 East Barnett Rd , Medford OR 97504-8301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Smith, Susan E can be contacted via phone (541) 789-4673.

Contact Information

Primary practice address
3011 East Barnett Rd Medford OR 97504-8301
Phone: (541) 789-4673
Fax: (541) 789-5678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD38769 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 45611 Colorado

Profile Details

NPI number 1164519922
LBN Legal business name Smith, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated May 8th, 2023 - about 2 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 1164519922 NPPES
Tennessee MEDICAID 3339463
Tennessee MEDICAID 3339462
Tennessee MEDICAID 15559297
Tennessee MEDICAID 517659

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