Rudzik, Susie Elaine
Rudzik, Susie Elaine is an sole proprietor health care provider with primary practice located at 24012 Calle De La Plata Ste. 355, Laguna Hills CA 92653-3621. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rudzik, Susie Elaine can be contacted via phone (949) 916-1654.Contact Information
Primary practice address
24012 Calle De La Plata Ste. 355
Laguna Hills CA 92653-3621
Phone: (949) 916-1654
Fax: (949) 916-1658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT 6041 | California |
Profile Details
| NPI number | 1316097199 |
|---|---|
| LBN Legal business name | Rudzik, Susie Elaine |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1316097199 | NPPES |
| California | Other | CT-0029130 | CAL OPTIMA |
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