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
Fax: (701) 952-3265
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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