Back, Susan Marie

Back, Susan Marie is an individual health care provider with primary practice located at 116 County Road 34 W , Jackson MN 56143. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Back, Susan Marie can be contacted via phone (507) 847-5952.

Contact Information

Primary practice address
116 County Road 34 W Jackson MN 56143
Phone: (507) 847-5952
Fax: (507) 847-5275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1191 Minnesota

Profile Details

NPI number 1609952027
LBN Legal business name Back, Susan Marie
Credentials MS LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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