Hurley, Susan Marie
Hurley, Susan Marie is an individual health care provider with primary practice located at 56299 29 Palms Hwy , Yucca Valley CA 92284-2857. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Hurley, Susan Marie can be contacted via phone (760) 369-1743.Contact Information
Primary practice address
56299 29 Palms Hwy
Yucca Valley CA 92284-2857
Phone: (760) 369-1743
Fax: (760) 365-6934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT 5196 | California |
Profile Details
| NPI number | 1356494074 |
|---|---|
| LBN Legal business name | Hurley, Susan Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Sep 6th, 2023 - 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 | 1356494074 | NPPES |
| California | Other | OT0051960 | BLUE SHIELD |
| California | Other | 72157585392277A004 | BLUE SHIELD |
| California | MEDICAID | CT3786610 | BLUE SHIELD |
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