Johnson, Susan Ruth
Johnson, Susan Ruth is an sole proprietor health care provider with primary practice located at 91 Sw Chehalis Ave Ste 101 , Chehalis WA 98532-1934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Susan Ruth can be contacted via phone (360) 740-5181.Contact Information
Primary practice address
91 Sw Chehalis Ave Ste 101
Chehalis WA 98532-1934
Phone: (360) 740-5181
Fax: (360) 740-6007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005035 | Washington |
Profile Details
| NPI number | 1043385008 |
|---|---|
| LBN Legal business name | Johnson, Susan Ruth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1043385008 | NPPES |
| Washington | Other | 0215145 | L AND I |
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