Packer, Susan

Packer, Susan is an individual health care provider with primary practice located at 2603 Easton Road , Willow Grove PA 19090-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Packer, Susan can be contacted via phone (267) 537-3300.

Contact Information

Primary practice address
2603 Easton Road Willow Grove PA 19090-1009
Phone: (267) 537-3300
Fax: (267) 537-2939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 025180E Pennsylvania

Profile Details

NPI number 1497719249
LBN Legal business name Packer, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 27th, 2017 - about 8 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 1497719249 NPPES
Pennsylvania Other 597586 TPI GROUP MEDICARE ID
Pennsylvania Other 1007278000 TPI GROUP MEDICARE ID
Pennsylvania Other CD4829 TPI GROUP MEDICARE ID

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