Alderson, Susan

Alderson, Susan is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Alderson, Susan can be contacted via phone (816) 271-6700.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Phone: (816) 271-6700
Fax: (816) 271-6701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2001003607 Missouri
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 2001003607 Missouri

Profile Details

NPI number 1669761904
LBN Legal business name Alderson, Susan
Credentials RD,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated May 18th, 2016 - about 10 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 1669761904 NPPES
Missouri MEDICAID 1669761904

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