Phelps, Susan L.

Phelps, Susan L. is an individual health care provider with primary practice located at 1900 Brother Geenen Way Senior Friendship Centers, Inc., Sarasota FL 34236-7102. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Phelps, Susan L. can be contacted via phone (941) 556-3215.

Contact Information

Primary practice address
1900 Brother Geenen Way Senior Friendship Centers, Inc. Sarasota FL 34236-7102
Phone: (941) 556-3215
Fax: (941) 955-8214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND01579 Florida

Profile Details

NPI number 1740278811
LBN Legal business name Phelps, Susan L.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 18th, 2008 - about 18 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 1740278811 NPPES
Florida Other ND01579 LICENSE

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