Nissim, Susan J

Nissim, Susan J is an sole proprietor health care provider with primary practice located at 35 Santiago Way , San Rafael CA 94903-1790. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Nissim, Susan J can be contacted via phone (415) 302-8643.

Contact Information

Primary practice address
35 Santiago Way San Rafael CA 94903-1790
Phone: (415) 302-8643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 6516 California

Profile Details

NPI number 1073337200
LBN Legal business name Nissim, Susan J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2024
Last updated Nov 13th, 2024 - about 2 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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