Lundgren, Susan Gene
Lundgren, Susan Gene is an sole proprietor health care provider with primary practice located at 4251 S Higuera St Ste 300, San Luis Obispo CA 93401-7700. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Lundgren, Susan Gene can be contacted via phone (888) 856-1925.Contact Information
Primary practice address
4251 S Higuera St Ste 300
San Luis Obispo CA 93401-7700
Phone: (888) 856-1925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | ND-595 | California |
Profile Details
| NPI number | 1629363874 |
|---|---|
| LBN Legal business name | Lundgren, Susan Gene |
| Credentials | N.M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2011 |
| Last updated | Nov 1st, 2013 - about 11 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 | 1629363874 | NPPES |
| California | Other | ND-595 | NATUROPATHIC LICENSE |
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