Sharpe, Susannah B
Sharpe, Susannah B is an sole proprietor health care provider with primary practice located at 1650 Medical Lane Ste 4 , Fort Myers FL 33907-1119. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Sharpe, Susannah B can be contacted via phone (239) 334-6160.Contact Information
Primary practice address
1650 Medical Lane Ste 4
Fort Myers FL 33907-1119
Phone: (239) 334-6160
Fax: (239) 334-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida | |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA6947 | Florida |
Profile Details
| NPI number | 1417094822 |
|---|---|
| LBN Legal business name | Sharpe, Susannah B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jun 27th, 2022 - about 3 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 | 1417094822 | NPPES |
| Florida | MEDICAID | 016807700 |
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