Iverson, Susan
Iverson, Susan is an sole proprietor health care provider with primary practice located at 1582 Arbor Ave , Highland Park IL 60035. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Iverson, Susan can be contacted via phone (847) 845-7206.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 056000638 | Illinois |
Profile Details
| NPI number | 1477807881 |
|---|---|
| LBN Legal business name | Iverson, Susan |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2012 |
| Last updated | Nov 7th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477807881 | NPPES |
| Illinois | Other | 225X00000X | OT |
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