Sponaugle, Carole Sussi

Sponaugle, Carole Sussi is an individual health care provider with primary practice located at 600 Eden Road Building I, Lancaster PA 17601-4205. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Sponaugle, Carole Sussi can be contacted via phone (717) 299-4829.

Contact Information

Primary practice address
600 Eden Road Building I Lancaster PA 17601-4205
Phone: (717) 299-4829
Fax: (717) 295-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT008757E Pennsylvania

Profile Details

NPI number 1164546560
LBN Legal business name Sponaugle, Carole Sussi
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164546560 NPPES
Pennsylvania Other 0018895510001 17

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