Tissier, Susan

Tissier, Susan is an individual health care provider with primary practice located at 1715 Kuenzli St , Reno NV 89502-1117. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tissier, Susan can be contacted via phone (775) 329-5162.

Contact Information

Primary practice address
1715 Kuenzli St Reno NV 89502-1117
Fax: (775) 334-4365
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 611314 Nevada

Profile Details

NPI number 1144276718
LBN Legal business name Tissier, Susan
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 3rd, 2009 - about 16 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 1144276718 NPPES
Nevada MEDICAID 004716904

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