Susonne Annette Ursin in Shreveport - Clinical Genetics (m.d.)
Susonne Annette Ursin - NPI 1700803608
Susonne Annette Ursin is a Clinical Genetics (m.d.) in Shreveport, Louisiana. Susonne Annette Ursin practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Susonne Annette Ursin is 1700803608. The last update date is 2009-07-31.
Susonne Annette Ursin's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3186756076 and fax number 3186756059. The mailing address for Susonne Annette Ursin is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susonne Annette Ursin |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3186756076 |
| Fax Number | 3186756059 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700803608 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2009-07-31 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3186756076 |
| Fax Number | 3186756059 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Genetics (m.d.) |
|---|---|
| Taxonomy | 207Sg0201X |
| Licence No | 13853 |
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Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194484 | LA | -- |
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What is the unique 10-digit identification code issued to Susonne Annette Ursin by the Centers for Medicare & Medicaid Services?
The Susonne Annette Ursin has been assigned the NPI (National Provider Identifier) 1700803608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Susonne Annette Ursin located?
The Susonne Annette Ursin is located at 1501 Kings Hwy, Shreveport, LA 711034228.
What is the Susonne Annette Ursin's area of specialization and corresponding taxonomy classification?
The Susonne Annette Ursin's specialty field is Clinical Genetics (m.d.), and it falls under the taxonomy code 207Sg0201X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1700803608 to Susonne Annette Ursin?
The Centers for Medicare & Medicaid Services assigned the 1700803608 to Susonne Annette Ursin on 2006-07-16.
As of what date were the Susonne Annette Ursin's details last updated?
The information pertaining to the Susonne Annette Ursin, including its address, specialty, and other details, was most recently updated on 2009-07-31.