Jones, Susan Diane

Jones, Susan Diane is an individual health care provider with primary practice located at 1160 Sw Simpson Ave Suite 200, Bend OR 97702-3542. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jones, Susan Diane can be contacted via phone (541) 322-9045.

Contact Information

Primary practice address
1160 Sw Simpson Ave Suite 200 Bend OR 97702-3542
Phone: (541) 322-9045
Fax: (541) 322-9044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2369 Oregon

Profile Details

NPI number 1023078110
LBN Legal business name Jones, Susan Diane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023078110 NPPES
Oregon MEDICAID 227947

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