Davis, Susan Elaine Gandy
Davis, Susan Elaine Gandy is an individual health care provider with primary practice located at 4005 Lamar Avenue , Paris TX 75462. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Davis, Susan Elaine Gandy can be contacted via phone (903) 785-3861.Contact Information
Primary practice address
4005 Lamar Avenue
Paris TX 75462
Phone: (903) 785-3861
Fax: (903) 739-8768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1032613 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 1032613 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1032613 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1032613 | Texas |
Profile Details
NPI number | 1699715367 |
---|---|
LBN Legal business name | Davis, Susan Elaine Gandy |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Jul 18th, 2015 - about 9 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 | 1699715367 | NPPES |
Other | 120492 | SUPERIOR PROVIDER NUMBER | |
Other | 80811T | SUPERIOR PROVIDER NUMBER | |
MEDICAID | 100672030B | SUPERIOR PROVIDER NUMBER | |
MEDICAID | 058541601 | SUPERIOR PROVIDER NUMBER | |
Other | 7032430 | SUPERIOR PROVIDER NUMBER |
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