Magnuson, Bethany Susanne

Magnuson, Bethany Susanne is an individual health care provider with primary practice located at 721 Brentwood Dr , Santa Rosa CA 95405-6607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Magnuson, Bethany Susanne can be contacted via phone (785) 410-8246.

Contact Information

Primary practice address
721 Brentwood Dr Santa Rosa CA 95405-6607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 070502037 California

Profile Details

NPI number 1982197059
LBN Legal business name Magnuson, Bethany Susanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 2018 - about 7 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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