Smith, Susan

Smith, Susan is an individual health care provider with primary practice located at 170 Changebridge Rd Suite A5, Montville NJ 07045-9115. 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. Smith, Susan can be contacted via phone (973) 575-1112.

Contact Information

Primary practice address
170 Changebridge Rd Suite A5 Montville NJ 07045-9115
Phone: (973) 575-1112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00265800 New Jersey

Profile Details

NPI number 1861558942
LBN Legal business name Smith, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 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 1861558942 NPPES
New Jersey Other 40QA00265800 LICENSE #

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