Samuel, Susan Elizabeth

Samuel, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 31St Medical Group Unit 6180, Apo AE 09604-6180. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Samuel, Susan Elizabeth can be contacted via phone (314) 632-9060.

Contact Information

Primary practice address
31St Medical Group Unit 6180 Apo AE 09604-6180
Phone: (314) 632-9060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-107478
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT83995 Texas

Profile Details

NPI number 1700258340
LBN Legal business name Samuel, Susan Elizabeth
Credentials RDN, LD, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Apr 29th, 2024 - about 8 months 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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