Brakefield, Susan M
Brakefield, Susan M is an individual health care provider with primary practice located at 1234 Whitefish Stage , Kalispell MT 59901-2753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brakefield, Susan M can be contacted via phone (406) 756-7878.Contact Information
Primary practice address
1234 Whitefish Stage
Kalispell MT 59901-2753
Phone: (406) 756-7878
Fax: (406) 257-7811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 352PT | Montana |
Profile Details
| NPI number | 1689663593 |
|---|---|
| LBN Legal business name | Brakefield, Susan M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1689663593 | NPPES |
| Montana | Other | BCBS OF MT | PROVIDER NUMBER |
| Montana | Other | MT STATE FUND COMP | PROVIDER NUMBER |
| Montana | Other | WA STATE WORK COMP | PROVIDER NUMBER |
| Montana | MEDICAID | 0343317 | PROVIDER NUMBER |
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