Blackman, Susan Klint

Blackman, Susan Klint is an sole proprietor health care provider with primary practice located at 1220 E 2Nd Ave , Monmouth IL 61462-2404. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Blackman, Susan Klint can be contacted via phone (309) 734-7902.

Contact Information

Primary practice address
1220 E 2Nd Ave Monmouth IL 61462-2404
Phone: (309) 734-7902
Fax: (309) 734-7114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SB22990398P Illinois

Profile Details

NPI number 1518181320
LBN Legal business name Blackman, Susan Klint
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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