Johnson, Susannah

Johnson, Susannah is an individual health care provider with primary practice located at 539 San Bernardino Ave , Newport Beach CA 92663-4812. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Johnson, Susannah can be contacted via phone (650) 464-8659.

Contact Information

Primary practice address
539 San Bernardino Ave Newport Beach CA 92663-4812
Phone: (650) 464-8659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1588299853
LBN Legal business name Johnson, Susannah
Credentials NUTRITIONIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2020
Last updated Mar 7th, 2020 - about 4 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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