Susie A John
Adolescent Medicine
Us Hwy 491 North
Shiprock
, New Mexico 87420
Susie A John
Adolescent Medicine
Us Hwy 491 North
Shiprock
, New Mexico 87420
(505) 368-6431
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Susie A John
- Po Box 160
- Shiprock, NM
- Zip : 87420-0160
- Fax : (505) 368-6431
- Phone : (505) 368-6401
Second Address
- Susie A John
- Us Hwy 491 North
- Shiprock, NM
- Zip : 87420
- Fax : (505) 368-6431
- Phone : (505) 368-6401
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 85216 | NM |
National Provider Identifier
| NPI | 1194714956 |
|---|---|
| Provider Name | Susie A John |
| First Address | Shiprock, NM 87420-0160 |
| Second Address | Shiprock, NM 87420 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 26/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30487064 | (05) | CO |
| 35568 | (05) | NM |
| 939572 | (05) | AZ |
| D43180 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.