Powell, Susan Michele

Powell, Susan Michele is an individual health care provider with primary practice located at 2315 Myron Dr , Raleigh NC 27607-3344. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Powell, Susan Michele can be contacted via phone (919) 662-8340.

Contact Information

Primary practice address
2315 Myron Dr Raleigh NC 27607-3344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 4264 North Carolina

Profile Details

NPI number 1245375427
LBN Legal business name Powell, Susan Michele
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 2007 - about 18 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 1245375427 NPPES
North Carolina MEDICAID 7301495

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