Shelby, Susan

Shelby, Susan is an sole proprietor health care provider with primary practice located at 116 Rice Dr , Morrisville PA 19067-5055. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shelby, Susan can be contacted via phone (267) 210-8710.

Contact Information

Primary practice address
116 Rice Dr Morrisville PA 19067-5055
Phone: (267) 210-8710
Fax: (215) 295-5747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT001967-E Pennsylvania

Profile Details

NPI number 1063622686
LBN Legal business name Shelby, Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Apr 9th, 2008 - about 17 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 1063622686 NPPES
Pennsylvania MEDICAID 0019365440003

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