Standal, Susannah Marie
Standal, Susannah Marie is an individual health care provider with primary practice located at 1165 S Camino Del Rio Ste 100 , Durango CO 81303-6824. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Standal, Susannah Marie can be contacted via phone (970) 247-8762.Contact Information
Primary practice address
1165 S Camino Del Rio Ste 100
Durango CO 81303-6824
Phone: (970) 247-8762
Fax: (970) 385-4496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2404 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2775 | Florida |
Profile Details
| NPI number | 1588723019 |
|---|---|
| LBN Legal business name | Standal, Susannah Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Dec 28th, 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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