Hansen, Susan N
Hansen, Susan N is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hansen, Susan N can be contacted via phone (605) 720-7090.Contact Information
Primary practice address
113 Comanche Rd
Fort Meade SD 57741-1002
Phone: (605) 720-7090
Fax: (605) 720-7012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 0514 | South Dakota |
Profile Details
| NPI number | 1194952770 |
|---|---|
| LBN Legal business name | Hansen, Susan N |
| Credentials | RD/LN,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2009 |
| Last updated | Jun 10th, 2015 - about 10 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 | 1194952770 | NPPES |
| South Dakota | MEDICAID | 5540030 |
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