Burke, Susan
Burke, Susan is an individual health care provider with primary practice located at 880 Independence Ln , Sauk City WI 53583-1381. 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. Burke, Susan can be contacted via phone (608) 643-2343.Contact Information
Primary practice address
880 Independence Ln
Sauk City WI 53583-1381
Phone: (608) 643-2343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4321 | Wisconsin |
Profile Details
| NPI number | 1730277005 |
|---|---|
| LBN Legal business name | Burke, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730277005 | NPPES |
| Wisconsin | MEDICAID | 40206800 |
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