Bohannon, Susan Ina
Bohannon, Susan Ina is an sole proprietor health care provider with primary practice located at 69 N Church St , Wailuku HI 96793-1611. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bohannon, Susan Ina can be contacted via phone (808) 244-1164.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MAT 6806 | Hawaii |
Profile Details
| NPI number | 1366513418 |
|---|---|
| LBN Legal business name | Bohannon, Susan Ina |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366513418 | NPPES |
| Hawaii | Other | MAT 6806 | MASSAGE THERAPIST # |
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