Boettcher, Susan

Boettcher, Susan is an sole proprietor health care provider with primary practice located at 9409 Menard Ave , Oak Lawn IL 60453-2337. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Boettcher, Susan can be contacted via phone (708) 424-5909.

Contact Information

Primary practice address
9409 Menard Ave Oak Lawn IL 60453-2337
Phone: (708) 424-5909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 363341 Illinois

Profile Details

NPI number 1851921100
LBN Legal business name Boettcher, Susan
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2020
Last updated Jan 24th, 2020 - about 4 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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