Probasco, Susan Michelle
Probasco, Susan Michelle is an sole proprietor health care provider with primary practice located at 1512 Westview Dr , Coopersburg PA 18036-3137. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Probasco, Susan Michelle can be contacted via phone (610) 967-5468.Contact Information
Primary practice address
1512 Westview Dr
Coopersburg PA 18036-3137
Phone: (610) 967-5468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC003223L | Pennsylvania |
Profile Details
| NPI number | 1033249701 |
|---|---|
| LBN Legal business name | Probasco, Susan Michelle |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033249701 | NPPES |
| Pennsylvania | MEDICAID | 0019327410004 |
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