Streitz, Susan Marie

Streitz, Susan Marie is an individual health care provider with primary practice located at 725 Hamline St - Altru Family Medicine Residency , Grand Forks ND 58203. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Streitz, Susan Marie can be contacted via phone (701) 780-6400.

Contact Information

Primary practice address
725 Hamline St - Altru Family Medicine Residency Grand Forks ND 58203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 62 North Dakota

Profile Details

NPI number 1750584850
LBN Legal business name Streitz, Susan Marie
Credentials LRD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Mar 7th, 2019 - about 7 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 1750584850 NPPES
North Dakota Other CD3144 MEDICARE RAILROAD GROUP NUMBER

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