Beaulieu, Susann

Beaulieu, Susann is an individual health care provider with primary practice located at 2112 Broadway St , North Bend OR 97459-2330. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Beaulieu, Susann can be contacted via phone (541) 756-6337.

Contact Information

Primary practice address
2112 Broadway St North Bend OR 97459-2330
Phone: (541) 756-6337
Fax: (541) 751-9908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-P-1002441 Oregon

Profile Details

NPI number 1891990321
LBN Legal business name Beaulieu, Susann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891990321 NPPES
Oregon MEDICAID 298922

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