Johnson, Susan Rideout

Johnson, Susan Rideout is an sole proprietor health care provider with primary practice located at 54 West Grass Valley Street , Colfax CA 95713-9463. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Johnson, Susan Rideout can be contacted via phone (916) 638-8758.

Contact Information

Primary practice address
54 West Grass Valley Street Colfax CA 95713-9463
Phone: (916) 638-8758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X G59919 California

Profile Details

NPI number 1083828297
LBN Legal business name Johnson, Susan Rideout
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Aug 23rd, 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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