Blagg, Susan Renee
Blagg, Susan Renee is an sole proprietor health care provider with primary practice located at 207 Fred Rains Dr , Sherwood AR 72120-5457. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blagg, Susan Renee can be contacted via phone (501) 834-0217.Contact Information
Primary practice address
207 Fred Rains Dr
Sherwood AR 72120-5457
Phone: (501) 834-0217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 854 | Arkansas |
Profile Details
| NPI number | 1508018441 |
|---|---|
| LBN Legal business name | Blagg, Susan Renee |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2008 |
| Last updated | Oct 22nd, 2008 - 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 | 1508018441 | NPPES |
| Arkansas | MEDICAID | 127882721 |
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