Sussman, Mark N

Sussman, Mark N is an sole proprietor health care provider with primary practice located at 825 North 10Th Street , Santa Paula CA 93060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sussman, Mark N can be contacted via phone (805) 933-8600.

Contact Information

Primary practice address
825 North 10Th Street Santa Paula CA 93060
Phone: (805) 933-8600
Fax: (805) 933-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G24121 California

Profile Details

NPI number 1518021575
LBN Legal business name Sussman, Mark N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 29th, 2008 - about 16 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 1518021575 NPPES
California MEDICAID 00G241210

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