Andre, Susan
Andre, Susan is an sole proprietor health care provider with primary practice located at 455 Douglas Ave , Providence RI 02908-2542. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Andre, Susan can be contacted via phone (401) 553-8600.Contact Information
Primary practice address
455 Douglas Ave
Providence RI 02908-2542
Phone: (401) 553-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT01292 | Rhode Island |
Profile Details
| NPI number | 1538404025 |
|---|---|
| LBN Legal business name | Andre, Susan |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2012 |
| Last updated | Dec 10th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538404025 | NPPES |
| Rhode Island | Other | PT01292 | PHYSICAL THERAPY |
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