Cunningham, Susan Jean

Cunningham, Susan Jean is an individual health care provider with primary practice located at 901 E St Ste 285, San Rafael CA 94901-2850. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cunningham, Susan Jean can be contacted via phone (415) 454-5565.

Contact Information

Primary practice address
901 E St Ste 285 San Rafael CA 94901-2850
Phone: (415) 454-5565
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 12288T California

Profile Details

NPI number 1912996711
LBN Legal business name Cunningham, Susan Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Dec 29th, 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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