Theede, Susanna R

Theede, Susanna R is an individual health care provider with primary practice located at 1431 Southwest Blvd Ste 1 , Jefferson City MO 65109-2468. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Theede, Susanna R can be contacted via phone (618) 624-4471.

Contact Information

Primary practice address
1431 Southwest Blvd Ste 1 Jefferson City MO 65109-2468
Phone: (618) 624-4471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2016020812 Missouri

Profile Details

NPI number 1215521711
LBN Legal business name Theede, Susanna R
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Feb 24th, 2021 - about 5 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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