Demotte, Susan

Demotte, Susan is an sole proprietor health care provider with primary practice located at 1164 W Benjamin Holt Dr , Stockton CA 95207-3641. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Demotte, Susan can be contacted via phone (209) 403-4403.

Contact Information

Primary practice address
1164 W Benjamin Holt Dr Stockton CA 95207-3641
Phone: (209) 403-4403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 170198018 California

Profile Details

NPI number 1033873021
LBN Legal business name Demotte, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2021
Last updated Oct 26th, 2021 - 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.

Request for update

Popular Providers