Matherly, Susan C
Matherly, Susan C is an individual health care provider with primary practice located at 438 Bashore Dr , Martinsburg WV 25404-7603. 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. Matherly, Susan C can be contacted via phone (304) 546-6020.Contact Information
Primary practice address
438 Bashore Dr
Martinsburg WV 25404-7603
Phone: (304) 546-6020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 360 | West Virginia |
Profile Details
| NPI number | 1326265216 |
|---|---|
| LBN Legal business name | Matherly, Susan C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Apr 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326265216 | NPPES |
| West Virginia | MEDICAID | 0156211000 |
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