Stella, Susan Marie

Stella, Susan Marie is an individual health care provider with primary practice located at 8266 Atlee Rd Suite 133Pt, Mechanicsville VA 23116-1804. 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. Stella, Susan Marie can be contacted via phone (804) 569-1665.

Contact Information

Primary practice address
8266 Atlee Rd Suite 133Pt Mechanicsville VA 23116-1804
Phone: (804) 569-1665
Fax: (804) 569-1628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305205690 Virginia

Profile Details

NPI number 1932346509
LBN Legal business name Stella, Susan Marie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2009
Last updated May 11th, 2009 - about 17 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 1932346509 NPPES
Virginia MEDICAID 1932346509

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