Daniel, Susan S

Daniel, Susan S is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Daniel, Susan S can be contacted via phone (417) 820-2000.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2001001451 Missouri

Profile Details

NPI number 1316950330
LBN Legal business name Daniel, Susan S
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 16th, 2013 - about 12 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 1316950330 NPPES
Missouri MEDICAID 357494103

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