Westfall, Susan Lee

Westfall, Susan Lee is an sole proprietor health care provider with primary practice located at 775 Waukegan Rd Suite 200, Deerfield IL 60015-4342. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Westfall, Susan Lee can be contacted via phone (800) 317-0711.

Contact Information

Primary practice address
775 Waukegan Rd Suite 200 Deerfield IL 60015-4342
Fax: (800) 434-7113
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002206A Indiana

Profile Details

NPI number 1124007455
LBN Legal business name Westfall, Susan Lee
Credentials CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated May 9th, 2008 - 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 1124007455 NPPES
Indiana Other 000000220069 ANTHEM
Indiana MEDICAID 200130000 ANTHEM

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