Stedje, Susan E
Stedje, Susan E is an individual health care provider with primary practice located at 2501 S Dixie Dr , Kettering OH 45409-1523. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stedje, Susan E can be contacted via phone (937) 643-3083.Contact Information
Primary practice address
2501 S Dixie Dr
Kettering OH 45409-1523
Phone: (937) 643-3083
Fax: (937) 643-3089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35055621 | Ohio |
Profile Details
NPI number | 1215914247 |
---|---|
LBN Legal business name | Stedje, Susan E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | Nov 19th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215914247 | NPPES |
Ohio | MEDICAID | 0740836 |
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