Allen, Susan
Allen, Susan is an individual health care provider with primary practice located at 2263 Route 2 , Hermon ME 04401-0605. 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. Allen, Susan can be contacted via phone (207) 848-9009.Contact Information
Primary practice address
2263 Route 2
Hermon ME 04401-0605
Phone: (207) 848-9009
Fax: (207) 404-2562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 86 | Maine |
Profile Details
| NPI number | 1962603415 |
|---|---|
| LBN Legal business name | Allen, Susan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Aug 2nd, 2016 - about 10 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 | 1962603415 | NPPES |
| Maine | Other | 00015800 | ANTHEM BCBS |
| Maine | MEDICAID | 126980000 | ANTHEM BCBS |
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