Davis, Susan Adele

Davis, Susan Adele is an individual health care provider with primary practice located at 1629 E Division St , River Falls WI 54022-1571. 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. Davis, Susan Adele can be contacted via phone (715) 426-4537.

Contact Information

Primary practice address
1629 E Division St River Falls WI 54022-1571
Phone: (715) 426-4537
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6460-024 Wisconsin

Profile Details

NPI number 1811039043
LBN Legal business name Davis, Susan Adele
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811039043 NPPES
Wisconsin MEDICAID 36106000

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