Tran, Susan
Tran, Susan is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Tran, Susan can be contacted via phone (920) 288-5500.Contact Information
Primary practice address
1160 Kepler Dr
Green Bay WI 54311-8321
Phone: (920) 288-5500
Fax: (920) 288-5510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME 92893 | Florida |
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | ME 92893 | Florida |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 92893 | Florida |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 66496-20 | Wisconsin |
Profile Details
NPI number | 1760638886 |
---|---|
LBN Legal business name | Tran, Susan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2008 |
Last updated | Dec 20th, 2016 - about 8 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 | 1760638886 | NPPES |
Wisconsin | MEDICAID | 1760638886 |
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