Smith, Susan
Smith, Susan is an individual health care provider with primary practice located at 850 N 11Th St , Philadelphia PA 19123-1957. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Smith, Susan can be contacted via phone (215) 769-1100.Contact Information
Primary practice address
850 N 11Th St
Philadelphia PA 19123-1957
Phone: (215) 769-1100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT016957 | Pennsylvania |
Profile Details
NPI number | 1841267655 |
---|---|
LBN Legal business name | Smith, Susan |
Credentials | PT, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Jul 8th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841267655 | NPPES |
Pennsylvania | MEDICAID | 1010724000002 |
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