Fisher, Susan

Fisher, Susan is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Fisher, Susan can be contacted via phone (831) 454-4107.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4107
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X 4939 California

Profile Details

NPI number 1164749032
LBN Legal business name Fisher, Susan
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Oct 25th, 2017 - about 7 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 1164749032 NPPES
California MEDICAID FHC70044F
California MEDICAID FHC70042F
California Other 4939

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