Phillips, Suzanne M

Phillips, Suzanne M is an sole proprietor health care provider with primary practice located at 2150 Stadium Dr , Boulder CO 80309-0001. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is her primary health care specialty. Phillips, Suzanne M can be contacted via phone (303) 315-9900.

Contact Information

Primary practice address
2150 Stadium Dr Boulder CO 80309-0001
Phone: (303) 315-9900
Fax: (303) 415-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL.0003355 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PTL.0003355 Colorado

Profile Details

NPI number 1699934059
LBN Legal business name Phillips, Suzanne M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Nov 9th, 2017 - about 7 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 1699934059 NPPES
Colorado MEDICAID 43026206

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