Myers, Susan D
Myers, Susan D is an individual health care provider with primary practice located at 108 N Main St Suite 305, South Bend IN 46601-1625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Myers, Susan D can be contacted via phone (574) 234-3515.Contact Information
Primary practice address
108 N Main St Suite 305
South Bend IN 46601-1625
Phone: (574) 234-3515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34003529A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 28066923A | Indiana |
Profile Details
| NPI number | 1861530792 |
|---|---|
| LBN Legal business name | Myers, Susan D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| 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.
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