Iwanski, Susan M

Iwanski, Susan M is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6214. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Iwanski, Susan M can be contacted via phone (920) 223-7330.

Contact Information

Primary practice address
1855 S Koeller St Oshkosh WI 54902-6214
Phone: (920) 223-7330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 324156 Wisconsin

Profile Details

NPI number 1265413314
LBN Legal business name Iwanski, Susan M
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 3rd, 2021 - about 5 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 1265413314 NPPES
Wisconsin Other 640003874 RAILROAD
Wisconsin Other 12937 RAILROAD
Wisconsin Other 390807236FE RAILROAD
Wisconsin MEDICAID 41137800 RAILROAD

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