Mrs Susan Ellen Fishman Tudor, DC is a
Registered Nurse - Psychiatric/mental Health based in Eureka, California. Mrs Susan Ellen Fishman Tudor is licensed to practice in California (license number 330605) and her current practice location is
720 Wood St, Eureka, California. She can be reached at her office (for appointments etc.) via phone at
(707) 268-2990.
NPI number for Mrs Susan Ellen Fishman Tudor is 1699973693 and her current mailing address is 157 Sunnyglen Dr, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699973693.
Healthcare Provider's Profile
Full Name | Mrs Susan Ellen Fishman Tudor |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 720 Wood St, Eureka, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699973693
- Provider Enumeration Date: 07/11/2007
- Last Update Date: 09/10/2020
Medical Identifiers
Medical identifiers for Mrs Susan Ellen Fishman Tudor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699973693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 17539 (California) | Secondary |
111N00000X | Chiropractor | Y005601 (New York) | Secondary |
163W00000X | Registered Nurse | 330605 (California) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 330605 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Ellen Fishman Tudor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susan Ellen Fishman Tudor, DC 157 Sunnyglen Dr, Vallejo, CA 94591-7553 Ph: (415) 730-6305 | Mrs Susan Ellen Fishman Tudor, DC 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2990 |
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