Healthcare Provider Details

I. General information

NPI: 1578860375
Provider Name (Legal Business Name): SUSAN ELIZABETH ZUBER STEELMAN RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N ELM ST
HIGH POINT NC
27262
US

IV. Provider business mailing address

710 N ELM ST
HIGH POINT NC
27262
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6340
  • Fax: 336-878-6412
Mailing address:
  • Phone: 336-878-6340
  • Fax: 336-878-6412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003180
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: