Baka, Susan Jean

Baka, Susan Jean is an individual health care provider with primary practice located at 433 Main St , Brockway PA 15824-1337. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Baka, Susan Jean can be contacted via phone (814) 265-8508.

Contact Information

Primary practice address
433 Main St Brockway PA 15824-1337
Phone: (814) 265-8508
Fax: (814) 265-8158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X TE1000845 Pennsylvania

Profile Details

NPI number 1700224425
LBN Legal business name Baka, Susan Jean
Credentials C.P.T.A..
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700224425 NPPES
Pennsylvania Other 1760421689 NPI

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