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
Phone: (860) 388-9250
Fax: (860) 388-9687
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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