Wang, Susan R

Wang, Susan R is an individual health care provider with primary practice located at 910 Boylston Ave , Seattle WA 98104-1313. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wang, Susan R can be contacted via phone (206) 215-2440.

Contact Information

Primary practice address
910 Boylston Ave Seattle WA 98104-1313
Fax: (206) 215-2457
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ID00000585 Washington

Profile Details

NPI number 1710041660
LBN Legal business name Wang, Susan R
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710041660 NPPES
Washington MEDICAID 8430050

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