Susa, Joseph Stephen

Susa, Joseph Stephen is an individual health care provider with primary practice located at 2330 Butler St Suite 115, Dallas TX 75235-7828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Susa, Joseph Stephen can be contacted via phone (214) 530-5200.

Contact Information

Primary practice address
2330 Butler St Suite 115 Dallas TX 75235-7828
Phone: (214) 530-5200
Fax: (214) 530-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X M2136 Texas

Profile Details

NPI number 1699744136
LBN Legal business name Susa, Joseph Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 16th, 2016 - about 9 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 1699744136 NPPES
Texas MEDICAID 176911901

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