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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1720076458 NPPES
New Mexico MEDICAID 34330534
New Mexico MEDICAID 48178845
New Mexico MEDICAID 796386
New Mexico MEDICAID 243530099

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