Thomas, Susan Leigh

Thomas, Susan Leigh is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Thomas, Susan Leigh can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Fax: (541) 884-2338
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 094003031LPN Oregon

Profile Details

NPI number 1497031066
LBN Legal business name Thomas, Susan Leigh
Credentials LPN,QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 13 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 1497031066 NPPES
Oregon MEDICAID 223354

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