White, Susan

White, Susan is an individual health care provider with primary practice located at 12 Cournoyer Road , West Tisbury MA 02575. 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. White, Susan can be contacted via phone (508) 693-5949.

Contact Information

Primary practice address
12 Cournoyer Road West Tisbury MA 02575
Phone: (508) 693-5949
Fax: (508) 693-5942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4766 Massachusetts

Profile Details

NPI number 1457311201
LBN Legal business name White, Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457311201 NPPES
Massachusetts Other AA39271 HARVARD PILGRIM
Massachusetts Other Y67597 HARVARD PILGRIM
Massachusetts MEDICAID 0315711 HARVARD PILGRIM

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