Wright, Susan

Wright, Susan is an individual health care provider with primary practice located at 1965 S Fremont Ave Ste 220 , Springfield MO 65804-2283. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wright, Susan can be contacted via phone (417) 820-7731.

Contact Information

Primary practice address
1965 S Fremont Ave Ste 220 Springfield MO 65804-2283
Phone: (417) 820-7731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2011031072 Missouri

Profile Details

NPI number 1730615584
LBN Legal business name Wright, Susan
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Aug 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730615584 NPPES
Missouri MEDICAID PENDING

Popular Providers