Matthiesen, Susan
Matthiesen, Susan is an individual health care provider with primary practice located at 2422 20Th St Sw , Jamestown ND 58401-6201. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Matthiesen, Susan can be contacted via phone (701) 252-1050.Contact Information
Primary practice address
2422 20Th St Sw
Jamestown ND 58401-6201
Phone: (701) 252-1050
Fax: (701) 952-3265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 500 | North Dakota |
Profile Details
NPI number | 1467406652 |
---|---|
LBN Legal business name | Matthiesen, Susan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Aug 5th, 2011 - about 13 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 | 1467406652 | NPPES |
Other | HP42264 | HEALTH PARTNERS | |
MEDICAID | 50403 | HEALTH PARTNERS | |
Other | 14484 | HEALTH PARTNERS | |
Other | 4500069 | HEALTH PARTNERS | |
Other | 1006908 | HEALTH PARTNERS |
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