Safratowich, Susan M

Safratowich, Susan M is an sole proprietor health care provider with primary practice located at 2900 S Columbia Rd , Grand Forks ND 58201-6070. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Safratowich, Susan M can be contacted via phone (701) 746-6745.

Contact Information

Primary practice address
2900 S Columbia Rd Grand Forks ND 58201-6070
Phone: (701) 746-6745
Fax: (701) 746-6745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 676 North Dakota

Profile Details

NPI number 1881825339
LBN Legal business name Safratowich, Susan M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2009
Last updated Aug 29th, 2015 - about 9 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 1881825339 NPPES
North Dakota MEDICAID ND-60679

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