Earles, Susan Nadine

Earles, Susan Nadine is an individual health care provider with primary practice located at 1995 West Ridge Road , Wytheville VA 24382. 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. Earles, Susan Nadine can be contacted via phone (276) 223-1983.

Contact Information

Primary practice address
1995 West Ridge Road Wytheville VA 24382
Phone: (276) 223-1983
Fax: (276) 223-1316
Website:
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Health care specialties

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

Profile Details

NPI number 1346314846
LBN Legal business name Earles, Susan Nadine
Credentials PT MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 13th, 2010 - about 14 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 1346314846 NPPES
Virginia MEDICAID 008954895
Virginia Other P00038606
Virginia Other 2116103
Virginia Other 193870

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