Susnow, Amy Blake

Susnow, Amy Blake is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-2274. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Susnow, Amy Blake can be contacted via phone (608) 263-6420.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-2274
Phone: (608) 263-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X DR.0058101 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X FE60028232 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 56132 Wisconsin

Profile Details

NPI number 1043246994
LBN Legal business name Susnow, Amy Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 3rd, 2022 - about 2 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 1043246994 NPPES
Colorado Other 028673 KAISER COMMERCIAL NUMBER

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