Smith, Susan Marie

Smith, Susan Marie is an sole proprietor health care provider with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Susan Marie can be contacted via phone (310) 241-4022.

Contact Information

Primary practice address
1300 W 7Th St San Pedro CA 90732-3505
Phone: (310) 241-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 303119 California

Profile Details

NPI number 1023654555
LBN Legal business name Smith, Susan Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 5 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 1023654555 NPPES
California Other 7255506 PROVIDENCE LITTLE COMPANY OF MARY SAN PEDRO

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