Souders, Craig M.
Souders, Craig M. is an individual health care provider with primary practice located at 250 Cetronia Road Suite 303, Allentown PA 18104-9168. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Souders, Craig M. can be contacted via phone (610) 973-6200.Contact Information
Primary practice address
250 Cetronia Road Suite 303
Allentown PA 18104-9168
Phone: (610) 973-6200
Fax: (610) 973-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT012773L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT012773L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT012773L | Pennsylvania |
Profile Details
| NPI number | 1619963170 |
|---|---|
| LBN Legal business name | Souders, Craig M. |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| 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 | 1619963170 | NPPES |
| Pennsylvania | Other | 50039966 | BLUE CROSS |
| Pennsylvania | Other | 7345608 | BLUE CROSS |
| Pennsylvania | Other | 2000541 | BLUE CROSS |
| Pennsylvania | Other | 1674539 | BLUE CROSS |
| Pennsylvania | Other | 1674539 | BLUE CROSS |
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