Grosberg, Susan L.
Grosberg, Susan L. is an sole proprietor health care provider with primary practice located at 38 Redwood Ave , West Orange NJ 07052-3615. 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. Grosberg, Susan L. can be contacted via phone (610) 246-2793.Contact Information
Primary practice address
38 Redwood Ave
West Orange NJ 07052-3615
Phone: (610) 246-2793
Fax: (973) 532-6751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA00183700 | New Jersey |
Profile Details
| NPI number | 1346391422 |
|---|---|
| LBN Legal business name | Grosberg, Susan L. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jan 12th, 2022 - about 2 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 | 1346391422 | NPPES |
| Pennsylvania | Other | 11487528 | CAQH |
| Pennsylvania | Other | P00327536 | CAQH |
| Pennsylvania | Other | 000760388 | CAQH |
| Pennsylvania | Other | 0567202000 | CAQH |
| Pennsylvania | Other | 000760388 | CAQH |
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