Stuart, Susan M
Stuart, Susan M is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave Ste 480 , La Jolla CA 92037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Stuart, Susan M can be contacted via phone (858) 623-6333.Contact Information
Primary practice address
9850 Genesee Ave Ste 480
La Jolla CA 92037
Phone: (858) 623-6333
Fax: (858) 623-0204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A53234 | California |
Profile Details
| NPI number | 1235279969 |
|---|---|
| LBN Legal business name | Stuart, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 25th, 2018 - about 6 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 | 1235279969 | NPPES |
| California | Other | A53234 | CA LIC # |
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