Elder, Susannah Jane
Elder, Susannah Jane is an sole proprietor health care provider with primary practice located at 832 E Main St Ste. 6, Medford OR 97504-7153. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Elder, Susannah Jane can be contacted via phone (541) 772-5939.Contact Information
Primary practice address
832 E Main St Ste. 6
Medford OR 97504-7153
Phone: (541) 772-5939
Fax: (541) 770-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10482 | Oregon |
Profile Details
| NPI number | 1518039890 |
|---|---|
| LBN Legal business name | Elder, Susannah Jane |
| Credentials | L.M.T., NCBTMB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 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 | 1518039890 | NPPES |
| Oregon | Other | 10482 | BOARD OF MASSAGE LICENSE |
Popular Providers
-
Tribelhorn, Dwight R
2959 Siskiyou Blvd #B, Medford OR 97504-8131 -
Raniele, Dean Peter
760 Golf View Dr. Suite #200, Medford OR 97504-8491 -
Mendelson, Jeri Kersten
3210 Hillcrest Park Dr Ste 100 , Medford OR 97504-7687 -
Naversen, Douglas N
2959 Siskiyou Blvd #B, Medford OR 97504-8131 -
Stringer, Kenneth Dale
760 Golf View Dr. Suite #200, Medford OR 97504-8491 -
Lundstrom, Natasha Denise
836 E Main St , Medford OR 97504-7115 -
Cruickshank, James Cameron
1698 E Mcandrews Rd Suite 220, Medford OR 97504-5589 -
Michels, Kendall Richard
760 Golf View Dr. Suite #200, Medford OR 97504-8491