Smith, Susan

Smith, Susan is an individual health care provider with primary practice located at 850 N 11Th St , Philadelphia PA 19123-1957. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Smith, Susan can be contacted via phone (215) 769-1100.

Contact Information

Primary practice address
850 N 11Th St Philadelphia PA 19123-1957
Phone: (215) 769-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT016957 Pennsylvania

Profile Details

NPI number 1841267655
LBN Legal business name Smith, Susan
Credentials PT, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
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 1841267655 NPPES
Pennsylvania MEDICAID 1010724000002

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