Vander Martin, Susan
Vander Martin, Susan is an individual health care provider with primary practice located at 5620 E Beaver Ave , Wasilla AK 99654-4633. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Vander Martin, Susan can be contacted via phone (479) 774-2484.Contact Information
Primary practice address
5620 E Beaver Ave
Wasilla AK 99654-4633
Phone: (479) 774-2484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1124664594 |
|---|---|
| LBN Legal business name | Vander Martin, Susan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2019 |
| Last updated | Nov 20th, 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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