Shada, Susan Marie
Shada, Susan Marie is an sole proprietor health care provider with primary practice located at 9197 Grant St , Thornton CO 80229-4361. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Shada, Susan Marie can be contacted via phone (303) 358-6092.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH903675 | Colorado |
Profile Details
| NPI number | 1629214291 |
|---|---|
| LBN Legal business name | Shada, Susan Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2009 |
| Last updated | Jan 1st, 2009 - about 15 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 | 1629214291 | NPPES |
| Colorado | Other | 20081649099 | STATE IDENTIFICATION NUMBER |
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