Stuart, Susan Ailsworth

Stuart, Susan Ailsworth is an individual health care provider with primary practice located at 10255 N 32Nd St , Phoenix AZ 85028-3851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stuart, Susan Ailsworth can be contacted via phone (602) 258-7003.

Contact Information

Primary practice address
10255 N 32Nd St Phoenix AZ 85028-3851
Fax: (602) 254-3474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1435 South Dakota

Profile Details

NPI number 1699885897
LBN Legal business name Stuart, Susan Ailsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 30th, 2011 - about 14 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 1699885897 NPPES
Arizona MEDICAID 415514

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