Collins, Susan

Collins, Susan is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. 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. Collins, Susan can be contacted via phone (920) 846-3444.

Contact Information

Primary practice address
855 S Main St Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3541-24 Wisconsin

Profile Details

NPI number 1639342611
LBN Legal business name Collins, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Apr 14th, 2008 - 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 1639342611 NPPES
Wisconsin MEDICAID 11014100
Wisconsin Other 3541-24
Wisconsin Other 390848401050
Wisconsin MEDICAID 11014110

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