Sussman, Lewis R

Sussman, Lewis R is an individual health care provider with primary practice located at Brooke Army Medical Center 3551 Roger Brooke Drive, Jbsa Fort Sam Houston TX 78234. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sussman, Lewis R can be contacted via phone (210) 539-8798.

Contact Information

Primary practice address
Brooke Army Medical Center 3551 Roger Brooke Drive Jbsa Fort Sam Houston TX 78234
Phone: (210) 539-8798
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 997 New Hampshire

Profile Details

NPI number 1245399518
LBN Legal business name Sussman, Lewis R
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245399518 NPPES
Vermont Other 1004243 MEDICAID
Vermont MEDICAID 30422291 MEDICAID

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