Nesbit, Susan Gayle
Nesbit, Susan Gayle is an individual health care provider with primary practice located at 340 N Mount Vernon Ave , Prescott AZ 86301-2620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Nesbit, Susan Gayle can be contacted via phone (928) 771-2406.Contact Information
Primary practice address
340 N Mount Vernon Ave
Prescott AZ 86301-2620
Phone: (928) 771-2406
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4090 | Arizona |
Profile Details
NPI number | 1700057684 |
---|---|
LBN Legal business name | Nesbit, Susan Gayle |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2008 |
Last updated | Mar 18th, 2008 - about 16 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 | 1700057684 | NPPES |
Arizona | Other | 4090 | LICENSE |
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