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SUSONNE A URSIN, MD – NPI #1700803608
Clinical Genetics (M.D.)

NPI Profile for SUSONNE A URSIN in SHREVEPORT, LA.

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Contact Information

SUSONNE A URSIN, MD
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS
SHREVEPORT, LA  71103-4228
 Phone: 318-675-6076
 Fax: 318-675-6059
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

 207SG0201X
Indicates primary specialty

NPI Profile & details for SUSONNE A URSIN · (Female)

NPI Number 1700803608
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2006
Last updated 07/31/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 013853
  • LA Medicaid 1194484
Hospital affiliation(s) Not Available
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.

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