Woodlan, Susanne T
Woodlan, Susanne T is an sole proprietor health care provider with primary practice located at 18111 Prince Philip Dr Ste 111, Olney MD 20832-1503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as her primary health care specialty. Woodlan, Susanne T can be contacted via phone (301) 774-6500.Contact Information
Primary practice address
18111 Prince Philip Dr Ste 111
Olney MD 20832-1503
Phone: (301) 774-6500
Fax: (301) 774-5461
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obesity Medicine | 207VB0002X | D0050262 | Maryland |
Profile Details
NPI number | 1447253679 |
---|---|
LBN Legal business name | Woodlan, Susanne T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2005 |
Last updated | Dec 15th, 2020 - about 4 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 | 1447253679 | NPPES |
Maryland | MEDICAID | 376596200 |
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