Fenrich, Susan L

Fenrich, Susan L is an individual health care provider with primary practice located at 2223 S Memorial Pl , Sheboygan WI 53081-3715. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Fenrich, Susan L can be contacted via phone (920) 452-0213.

Contact Information

Primary practice address
2223 S Memorial Pl Sheboygan WI 53081-3715
Fax: (920) 208-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 612 Wisconsin

Profile Details

NPI number 1063613222
LBN Legal business name Fenrich, Susan L
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 22nd, 2014 - about 11 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 1063613222 NPPES
Wisconsin MEDICAID 42822700

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