Sassenberg, Susan
Sassenberg, Susan is an individual health care provider with primary practice located at 15 E Pleasant St , Springfield OH 45506-2201. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sassenberg, Susan can be contacted via phone (937) 325-5564.Contact Information
Primary practice address
15 E Pleasant St
Springfield OH 45506-2201
Phone: (937) 325-5564
Fax: (937) 325-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C0004957-SUPV | Ohio |
Profile Details
| NPI number | 1083144612 |
|---|---|
| LBN Legal business name | Sassenberg, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1083144612 | NPPES |
| Ohio | MEDICAID | 2433503 |
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