Susan Amy Speich in West Fargo - Pediatrics
Susan Amy Speich - NPI 1780732883
Susan Amy Speich is a Pediatrics in West Fargo, North Dakota. Susan Amy Speich practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Amy Speich is 1780732883. The last update date is 2007-07-08.
Susan Amy Speich's current location address is 1636 Winslow Ct, West Fargo, North Dakota. You can contact this provider via phone number 7012826094. The mailing address for Susan Amy Speich is 1636 Winslow Ct, West Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Amy Speich |
|---|---|
| Address | 1636 Winslow Ct, West Fargo, North Dakota |
| Phone Number | 7012826094 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1780732883 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1636 Winslow Ct |
|---|---|
| City | West Fargo |
| State | North Dakota (ND) |
| Post Code | 580784041 |
| Phone Number | 7012826094 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1164 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51398 | ND | -- | |
| 27585 | ND | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
Could you please provide the complete physical location address of Susan Amy Speich?
The Susan Amy Speich is physically situated at 1636 Winslow Ct, in the city of West Fargo, state of ND, with the postal code 580784041.
What is the Susan Amy Speich's specialty and taxonomy code?
The Susan Amy Speich's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When was the Susan Amy Speich's 1780732883 issued?
The Susan Amy Speich's 1780732883 was issued on 2007-01-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1780732883 to Susan Amy Speich?
The Susan Amy Speich received its 1780732883 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information pertaining to Susan Amy Speich most recently updated or revised?
The details related to Susan Amy Speich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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