Rick Susick is a Orthopedic in Petaluma, California. Rick Susick practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Rick Susick is 1962599704. The last update date is 2007-07-08.
Rick Susick's current location address is 312 Sherri Ct, Petaluma, California. You can contact this provider via phone number 7077656392 and fax number 7077698597. The mailing address for Rick Susick is 312 Sherri Ct, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick Susick |
|---|---|
| Address | 312 Sherri Ct, Petaluma, California |
| Phone Number | 7077656392 |
| Fax Number | 7077698597 |
| Sole Proprietor | Y |
| Credentials | MS PT ATC |
NPI Number Detail
| NPI Number | 1962599704 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 312 Sherri Ct |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949524839 |
| Phone Number | 7077656392 |
| Fax Number | 7077698597 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT 11310 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT 11310 | CA | LICENSE | |
| 781081 | CA | ATHLETIC TRAINER CERTI. |
Post Comment/ Review Below
What is the unique identification code assigned to Rick Susick by the Centers for Medicare & Medicaid Services?
The Rick Susick has been issued the NPI (National Provider Identifier) 1962599704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Rick Susick is located?
The Rick Susick is situated at the following address: 312 Sherri Ct, Petaluma, CA, 949524839.
What is Rick Susick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rick Susick's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
On what date did the Rick Susick receive the assignment of its 1962599704 from the Centers for Medicare & Medicaid Services?
The Rick Susick was issued its 1962599704 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the Rick Susick's details last updated?
The information pertaining to the Rick Susick, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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