Sordoni, Susan Fort

Sordoni, Susan Fort is an sole proprietor health care provider with primary practice located at 250 Pierce St Suite 115, Kingston PA 18704-5149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sordoni, Susan Fort can be contacted via phone (570) 714-2999.

Contact Information

Primary practice address
250 Pierce St Suite 115 Kingston PA 18704-5149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD072550L Pennsylvania

Profile Details

NPI number 1770570459
LBN Legal business name Sordoni, Susan Fort
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Feb 8th, 2008 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770570459 NPPES
Pennsylvania Other 20 3165381 GREAT WEST
Pennsylvania Other 7822738 GREAT WEST
Pennsylvania Other 1058606 GREAT WEST
Pennsylvania Other 20 3165381 GREAT WEST
Pennsylvania Other 61056770 GREAT WEST
Pennsylvania MEDICAID 0018304560003 GREAT WEST
Pennsylvania Other 203165381 GREAT WEST
Pennsylvania Other 002782 GREAT WEST
Pennsylvania Other BS7070701 GREAT WEST
Pennsylvania Other 193973 GREAT WEST
Pennsylvania Other 60162 GREAT WEST
Pennsylvania Other 0018304560003 GREAT WEST
Pennsylvania Other 20 3165381 GREAT WEST
Pennsylvania Other 20 3165381 GREAT WEST

Popular Providers