Gefvert, Susan Jane
Gefvert, Susan Jane is an individual health care provider with primary practice located at 2907 Salivo Street , Concord CA 94519. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gefvert, Susan Jane can be contacted via phone (925) 689-4212.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D33089 | California |
Profile Details
NPI number | 1811020191 |
---|---|
LBN Legal business name | Gefvert, Susan Jane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811020191 | NPPES |
California | MEDICAID | 509859 |
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