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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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