Beardemphl, Susan M

Beardemphl, Susan M is an individual health care provider with primary practice located at 10004 204Th Ave E Ste 3100, Bonney Lake WA 98391-6539. 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. Beardemphl, Susan M can be contacted via phone (253) 863-7510.

Contact Information

Primary practice address
10004 204Th Ave E Ste 3100 Bonney Lake WA 98391-6539
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00005235 Washington

Profile Details

NPI number 1093708950
LBN Legal business name Beardemphl, Susan M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 2nd, 2015 - about 11 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 1093708950 NPPES
Washington Other 650015277 R/R MED
Washington MEDICAID 8385510 R/R MED
Washington Other 8930871 R/R MED
Washington Other 118317 R/R MED
Washington Other 3822BE R/R MED

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