Healthcare Provider Details

I. General information

NPI: 1215355094
Provider Name (Legal Business Name): SUSAN KNIGHT RESPIRATORY CARE RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 SALT FOREST LN
REHOBOTH BEACH DE
19971-9539
US

IV. Provider business mailing address

202 SALT FOREST LN
REHOBOTH BEACH DE
19971-9539
US

V. Phone/Fax

Practice location:
  • Phone: 302-841-7440
  • Fax:
Mailing address:
  • Phone: 302-841-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberL0004353
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: