Ivancic, Susan I.
Ivancic, Susan I. is an sole proprietor health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Ivancic, Susan I. can be contacted via phone (415) 444-2575.Contact Information
Primary practice address
99 Montecillo Rd
San Rafael CA 94903-3308
Phone: (415) 444-2575
Fax: (415) 444-4622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 172329 | California |
Profile Details
| NPI number | 1083751192 |
|---|---|
| LBN Legal business name | Ivancic, Susan I. |
| Credentials | RN, BSN, CDE, SNIV |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 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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