Thomas, Susanna

Thomas, Susanna is an sole proprietor health care provider with primary practice located at 1250 Boston Post Rd , Old Saybrook CT 06475-4405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Susanna can be contacted via phone (860) 388-9250.

Contact Information

Primary practice address
1250 Boston Post Rd Old Saybrook CT 06475-4405
Fax: (860) 388-9687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 028170 Connecticut

Profile Details

NPI number 1093726192
LBN Legal business name Thomas, Susanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Dec 15th, 2009 - about 15 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 1093726192 NPPES
Connecticut Other 010028170CT01 ANTHEM BLUE SHIELD
Connecticut Other 028170 ANTHEM BLUE SHIELD
Connecticut Other 2143945 ANTHEM BLUE SHIELD
Connecticut Other 0R0177 ANTHEM BLUE SHIELD
Connecticut Other 080121849 ANTHEM BLUE SHIELD

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