De Zeeuw, Susan M

De Zeeuw, Susan M is an individual health care provider with primary practice located at 2323 N Casaloma Dr , Appleton WI 54913-8284. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. De Zeeuw, Susan M can be contacted via phone (920) 730-8833.

Contact Information

Primary practice address
2323 N Casaloma Dr Appleton WI 54913-8284
Fax:
Website:

Health care specialties

Profile Details

NPI number 1790736668
LBN Legal business name De Zeeuw, Susan M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790736668 NPPES
Wisconsin MEDICAID 40643300

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