Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 01069283A | IN |
N | 2084N0400X | Neurologist | 036.117626 | IL |
N | 2084N0400X | Neurologist | 101251455 | VA |
N | 2084N0400X | Neurologist | 2011010349 | MO |
N | 2084N0400X | Neurologist | 252383 | NY |
N | 2084N0400X | Neurologist | 29502 | OK |
Y | 2084N0400X | Neurologist | 4301068843 | MI |
N | 2084N0400X | Neurologist | 45455 | KY |
N | 2084N0400X | Neurologist | 48167 | TN |
N | 2084N0400X | Neurologist | MD-38642 | IA |
N | 2084N0400X | Neurologist | MD445405 | PA |
N | 2084N0400X | Neurologist | MD60315550 | WA |
N | 2084N0400X | Neurologist | ME112270 | FL |
N | 2084N0600X | Clinical Neurophysiologist | MD60315550 | WA |
NPI | 1013065879 |
---|---|
Provider Name | Dr. Susan Lindsay Hollander |
First Address | Gig Harbor, WA 98335-8905 |
Second Address | Rochester Hills, MI 48306-3160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013065879 | (05) | MO |
103IL36545 | (02) | TN |
273586431-62401-01 | (05) | IL |
H11820 | (02) | MI |
OF36369 | BCBS-IL (01) | IL |