Sophia, Susan
Sophia, Susan is an sole proprietor health care provider with primary practice located at 2724 Morningside Dr Ne , Albuquerque NM 87110-2940. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Sophia, Susan can be contacted via phone (505) 883-3102.Contact Information
Primary practice address
2724 Morningside Dr Ne
Albuquerque NM 87110-2940
Phone: (505) 883-3102
Fax: (505) 872-9174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 329 | New Mexico |
Profile Details
| NPI number | 1811045008 |
|---|---|
| LBN Legal business name | Sophia, Susan |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811045008 | NPPES |
| New Mexico | MEDICAID | 60080086 |
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