Roddom, Susan
Roddom, Susan is an individual health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roddom, Susan can be contacted via phone (801) 387-3364.Contact Information
Primary practice address
4401 Harrison Blvd
Ogden UT 84403-3195
Phone: (801) 387-3364
Fax: (801) 387-3259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5009259-4405 | Utah |
Profile Details
| NPI number | 1750754677 |
|---|---|
| LBN Legal business name | Roddom, Susan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2015 |
| Last updated | Jan 14th, 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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