Woodmansee, Susan

Woodmansee, Susan is an individual health care provider with primary practice located at 3901 Lone Tree Way , Antioch CA 94509-6200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Woodmansee, Susan can be contacted via phone (925) 779-7273.

Contact Information

Primary practice address
3901 Lone Tree Way Antioch CA 94509-6200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A55503 California

Profile Details

NPI number 1275552580
LBN Legal business name Woodmansee, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275552580 NPPES
California MEDICAID 00A555030

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