Korem, Susan

Korem, Susan is an sole proprietor health care provider with primary practice located at 2105 Prevatt St , Eustis FL 32726-6131. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Korem, Susan can be contacted via phone (352) 409-1203.

Contact Information

Primary practice address
2105 Prevatt St Eustis FL 32726-6131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA23252 Florida

Profile Details

NPI number 1568789733
LBN Legal business name Korem, Susan
Credentials LMT/NCTMB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2010
Last updated Apr 28th, 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 1568789733 NPPES
Florida Other C8880 BLUE CROSS BLUE SHIELD

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