Provider Demographics
NPI:1144498791
Name:MESSER, SUSAN E (DC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:MESSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-6369
Mailing Address - Country:US
Mailing Address - Phone:302-453-4043
Mailing Address - Fax:302-453-4484
Practice Address - Street 1:650 PLAZA DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-6369
Practice Address - Country:US
Practice Address - Phone:302-453-4043
Practice Address - Fax:302-453-4484
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000757111N00000X
FLCH8961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor