Poppe, Charis Suzanne

Poppe, Charis Suzanne is an individual health care provider with primary practice located at 3975 Conshohocken Ave , Philadelphia PA 19131-5426. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Poppe, Charis Suzanne can be contacted via phone (215) 879-1000.

Contact Information

Primary practice address
3975 Conshohocken Ave Philadelphia PA 19131-5426
Phone: (215) 879-1000
Fax: (215) 879-3912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL007652 Pennsylvania

Profile Details

NPI number 1871615153
LBN Legal business name Poppe, Charis Suzanne
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 19 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 1871615153 NPPES
Pennsylvania MEDICAID 1010160710001

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