Mais-Requejo, Susan

Mais-Requejo, Susan is an sole proprietor health care provider with primary practice located at 2819 Josie Ave , Long Beach CA 90815-1515. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Mais-Requejo, Susan can be contacted via phone (562) 743-3761.

Contact Information

Primary practice address
2819 Josie Ave Long Beach CA 90815-1515
Phone: (562) 743-3761
Fax: (596) 496-3628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT18717 California

Profile Details

NPI number 1730383506
LBN Legal business name Mais-Requejo, Susan
Credentials D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Apr 30th, 2014 - about 11 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 1730383506 NPPES
California Other PT181717 LICENSE

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