Blackmore, Susan M
Blackmore, Susan M is an individual health care provider with primary practice located at 700 S Henderson Rd Suite 200, King Of Prussia PA 19406-3530. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Blackmore, Susan M can be contacted via phone (610) 768-5940.Contact Information
Primary practice address
700 S Henderson Rd Suite 200
King Of Prussia PA 19406-3530
Phone: (610) 768-5940
Fax: (610) 768-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OC001407L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC001407L | Pennsylvania |
Profile Details
| NPI number | 1841368511 |
|---|---|
| LBN Legal business name | Blackmore, Susan M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841368511 | NPPES |
| Pennsylvania | Other | 1452890 | IBC - PERSONAL CHOICE |
| Pennsylvania | Other | 2138759000 | IBC - PERSONAL CHOICE |
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