Tate, Susan S.B.
Tate, Susan S.B. is an sole proprietor health care provider with primary practice located at 2934 Breckenridge Ln Ste 2 , Louisville KY 40220-3903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Tate, Susan S.B. can be contacted via phone (502) 454-7871.Contact Information
Primary practice address
2934 Breckenridge Ln Ste 2
Louisville KY 40220-3903
Phone: (502) 454-7871
Fax: (502) 454-7872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 39021 | Kentucky |
Profile Details
| NPI number | 1811913585 |
|---|---|
| LBN Legal business name | Tate, Susan S.B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Sep 29th, 2014 - about 11 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 | 1811913585 | NPPES |
| Kansas | Other | 000000337344 | ANTHEM |
| Kansas | Other | 50004926 | ANTHEM |
| Kansas | MEDICAID | 200502730 | ANTHEM |
| Kansas | Other | 50015262 | ANTHEM |
| Kansas | Other | 50004854 | ANTHEM |
| Kansas | MEDICAID | 64084148 | ANTHEM |
| Kansas | Other | 000000338030 | ANTHEM |
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