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

Primary practice address
2907 Salivo Street Concord CA 94519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811020191 NPPES
California MEDICAID 509859

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