Goodine, Susan

Goodine, Susan is an individual health care provider with primary practice located at 122 Wildcat Rd , Burlington CT 06013-2429. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Goodine, Susan can be contacted via phone (860) 280-4106.

Contact Information

Primary practice address
122 Wildcat Rd Burlington CT 06013-2429
Phone: (860) 280-4106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2528 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2528 Massachusetts

Profile Details

NPI number 1871712547
LBN Legal business name Goodine, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Mar 28th, 2023 - about last year

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.

Request for update

Popular Providers