Blue, Susan Kelly
Blue, Susan Kelly is an sole proprietor health care provider with primary practice located at 1001 Washington Ave , Fort Worth TX 76104-3049. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blue, Susan Kelly can be contacted via phone (817) 334-7922.Contact Information
Primary practice address
1001 Washington Ave
Fort Worth TX 76104-3049
Phone: (817) 334-7922
Fax: (817) 870-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E1506 | Texas |
Profile Details
| NPI number | 1578540431 |
|---|---|
| LBN Legal business name | Blue, Susan Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | May 11th, 2011 - about 15 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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