St Pierre, Susan Marie
St Pierre, Susan Marie is an individual health care provider with primary practice located at 1615 Hill Rd Ste 14 , Novato CA 94947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. St Pierre, Susan Marie can be contacted via phone (415) 895-1441.Contact Information
Primary practice address
1615 Hill Rd Ste 14
Novato CA 94947
Phone: (415) 895-1441
Fax: (415) 895-1288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A14943 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1409 | Maine |
Profile Details
| NPI number | 1720076458 |
|---|---|
| LBN Legal business name | St Pierre, Susan Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | May 23rd, 2024 - about 6 months 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 | 1720076458 | NPPES |
| New Mexico | MEDICAID | 34330534 | |
| New Mexico | MEDICAID | 48178845 | |
| New Mexico | MEDICAID | 796386 | |
| New Mexico | MEDICAID | 243530099 |
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