Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD460444 | PA |
Y | 111NI0900X | Internist | MD460444 | PA |
N | 207RH0002X | Hospice and Palliative Medicine | MD460444 | PA |
NPI | 1285961458 |
---|---|
Provider Name | Dr. Susan H Krieger |
First Address | State College, PA 16803-2292 |
Second Address | State College, PA 16803-2292 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2009 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103302115 | (05) | PA |
1285961458 | HIGHMARK (01) | PA |
50150528 | CAPITAL BC (01) | PA |
6498247 | CIGNA (01) | PA |