Gresko, Susan Breakell

Gresko, Susan Breakell is an individual health care provider with primary practice located at 1421 Highland Ave , Abington PA 19001-2610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gresko, Susan Breakell can be contacted via phone (215) 572-7880.

Contact Information

Primary practice address
1421 Highland Ave Abington PA 19001-2610
Phone: (215) 572-7880
Fax: (215) 572-8024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X TP001082D Pennsylvania

Profile Details

NPI number 1184688343
LBN Legal business name Gresko, Susan Breakell
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1184688343 NPPES
Pennsylvania MEDICAID 001461156-0002
Pennsylvania Other 2342494000
Pennsylvania Other 30019381
Pennsylvania Other GR1666860
Pennsylvania Other 1666860
Pennsylvania Other 30012908

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