Tietjen, Susan Jean

Tietjen, Susan Jean is an sole proprietor health care provider with primary practice located at 5475 S 500 E , Ogden UT 84405-6905. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Tietjen, Susan Jean can be contacted via phone (801) 479-2111.

Contact Information

Primary practice address
5475 S 500 E Ogden UT 84405-6905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 19010616 California

Profile Details

NPI number 1962711275
LBN Legal business name Tietjen, Susan Jean
Credentials RN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2010
Last updated Oct 4th, 2010 - 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.

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