Provider Demographics
NPI:1538287966
Name:BETTCHER, SUSAN LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LYNN
Last Name:BETTCHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:270 E STATE ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4957
Mailing Address - Country:US
Mailing Address - Phone:330-596-6500
Mailing Address - Fax:330-829-9372
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:SUITE 240
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4957
Practice Address - Country:US
Practice Address - Phone:330-596-6500
Practice Address - Fax:330-829-9372
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2010-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.091576207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine