Weisberg, Susan

Weisberg, Susan is an sole proprietor health care provider with primary practice located at 1400 Dowell Springs Blvd Suite 200, Knoxville TN 37909-2456. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Weisberg, Susan can be contacted via phone (865) 584-0291.

Contact Information

Primary practice address
1400 Dowell Springs Blvd Suite 200 Knoxville TN 37909-2456
Phone: (865) 584-0291
Fax: (865) 584-4426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0055048 Florida

Profile Details

NPI number 1073513255
LBN Legal business name Weisberg, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Mar 2nd, 2010 - 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 1073513255 NPPES
Florida MEDICAID 371685600

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