Rhodes, Susan R

Rhodes, Susan R is an individual health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Rhodes, Susan R can be contacted via phone (239) 275-3222.

Contact Information

Primary practice address
2789 Ortiz Ave Fort Myers FL 33905-7806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1932243961
LBN Legal business name Rhodes, Susan R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Sep 23rd, 2014 - about 10 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 1932243961 NPPES
Florida MEDICAID 760152200

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