Nixon, Susan Dale
Nixon, Susan Dale is an sole proprietor health care provider with primary practice located at 5225 Elmore Ave , Davenport IA 52807-3454. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nixon, Susan Dale can be contacted via phone (563) 355-5731.Contact Information
Primary practice address
5225 Elmore Ave
Davenport IA 52807-3454
Phone: (563) 355-5731
Fax: (563) 355-5481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2009024362 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1845 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002567 | Iowa |
Profile Details
| NPI number | 1417282195 |
|---|---|
| LBN Legal business name | Nixon, Susan Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2009 |
| Last updated | Jun 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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