Osborn, Susan Lee

Osborn, Susan Lee is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 380, Spokane WA 99204-2966. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Osborn, Susan Lee can be contacted via phone (509) 570-5470.

Contact Information

Primary practice address
910 W 5Th Ave Suite 380 Spokane WA 99204-2966
Phone: (509) 570-5470
Fax: (509) 624-3315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001407 Washington

Profile Details

NPI number 1063612026
LBN Legal business name Osborn, Susan Lee
Credentials RD,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jun 30th, 2015 - about 10 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 1063612026 NPPES
Washington Other P00015661 RAILROAD MEDICARE
Washington MEDICAID 7122724 RAILROAD MEDICARE

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