Heisler, Susan Marie
Heisler, Susan Marie is an individual health care provider with primary practice located at 1330 E Cooley Dr , Colton CA 92324-3905. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Heisler, Susan Marie can be contacted via phone (909) 423-0750.Contact Information
Primary practice address
1330 E Cooley Dr
Colton CA 92324-3905
Phone: (909) 423-0750
Fax: (909) 423-0760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1588708077 |
|---|---|
| LBN Legal business name | Heisler, Susan Marie |
| Credentials | RAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 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 | 1588708077 | NPPES |
| California | Other | H0412300922 | REGISTERED ADDICTION SPEC |
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