National Provider Identifier Database

SUSIE A JOHN, MD MPH – NPI #1194714956
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

SUSIE A JOHN, MD MPH
US HWY 491 NORTH
SHIPROCK, NM87420
Phone: 505-368-6401
Fax: 505-368-6431
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for SUSIE A JOHN

NPI Number 1194714956
Credentials MD MPH
Entity Individual
Enumeration date 10/14/2005
Last updated 12/26/2007 - About 18 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 85216
  • AZ Medicaid: 939572
  • CO Medicaid: 30487064
  • NM Medicaid: 35568
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SUSIE A JOHN, MD MPH

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