Leatherman, Susan Meadows
Leatherman, Susan Meadows is an individual health care provider with primary practice located at 717 N Jefferson St , Lewisburg WV 24901. 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. Leatherman, Susan Meadows can be contacted via phone (304) 645-2525.Contact Information
Primary practice address
717 N Jefferson St
Lewisburg WV 24901
Phone: (304) 645-2525
Fax: (304) 645-2820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002237 | West Virginia |
Profile Details
| NPI number | 1346256112 |
|---|---|
| LBN Legal business name | Leatherman, Susan Meadows |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Aug 29th, 2013 - about 13 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 | 1346256112 | NPPES |
| West Virginia | MEDICAID | 3810005149 | |
| West Virginia | Other | 001814354 |
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