Stair, Susannah M.
Stair, Susannah M. is an individual health care provider with primary practice located at 2925 William Penn Hwy Ste 201 , Easton PA 18045-5283. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Stair, Susannah M. can be contacted via phone (610) 258-1400.Contact Information
Primary practice address
2925 William Penn Hwy Ste 201
Easton PA 18045-5283
Phone: (610) 258-1400
Fax: (833) 932-1218
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD423727 | Pennsylvania |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD423727 | Pennsylvania |
Profile Details
NPI number | 1972595387 |
---|---|
LBN Legal business name | Stair, Susannah M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Feb 28th, 2024 - about 10 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 | 1972595387 | NPPES |
Pennsylvania | Other | 1629736 | HIGHMARK PIN |
Pennsylvania | MEDICAID | 1010908100001 | HIGHMARK PIN |
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