Cool, Susan

Cool, Susan is an individual health care provider with primary practice located at 3656 Mall Dr , Eau Claire WI 54701-7634. 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. Cool, Susan can be contacted via phone (715) 552-1036.

Contact Information

Primary practice address
3656 Mall Dr Eau Claire WI 54701-7634
Phone: (715) 552-1036
Fax: (715) 552-4567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2081-24 Wisconsin

Profile Details

NPI number 1548433923
LBN Legal business name Cool, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated May 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548433923 NPPES
Wisconsin Other 390848401050 BLUE CROSS
Wisconsin MEDICAID 11014100 BLUE CROSS
Wisconsin MEDICAID 11014110 BLUE CROSS
Wisconsin Other 2081-24 BLUE CROSS

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