Eddy, Suzanna
Eddy, Suzanna is an individual health care provider with primary practice located at 3195 Hillside Dr , Delafield WI 53018-2189. 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. Eddy, Suzanna can be contacted via phone (262) 646-9612.Contact Information
Primary practice address
3195 Hillside Dr
Delafield WI 53018-2189
Phone: (262) 646-9612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1355024 | Wisconsin |
Profile Details
| NPI number | 1831649243 |
|---|---|
| LBN Legal business name | Eddy, Suzanna |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2016 |
| Last updated | Apr 15th, 2020 - about 5 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 | 1831649243 | NPPES |
| Nebraska | MEDICAID | 47065477701 |
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