Miller, Susan
Miller, Susan is an individual health care provider with primary practice located at 3225 W Gordon Ave 3, Layton UT 84041-6508. 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. Miller, Susan can be contacted via phone (801) 497-0800.Contact Information
Primary practice address
3225 W Gordon Ave 3
Layton UT 84041-6508
Phone: (801) 497-0800
Fax: (801) 497-0807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 53276982401 | Utah |
Profile Details
| NPI number | 1760586283 |
|---|---|
| LBN Legal business name | Miller, Susan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Apr 24th, 2009 - 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 | 1760586283 | NPPES |
| Utah | MEDICAID | 1760586283 |
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