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Contact Information

SUSAN E PENROD, ATC
2001 LANES MILL RD
BRICK, NJ08724-1405
 Phone: 732-785-3090
 Fax: 732-836-1251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SUSAN E PENROD · (Female)

NPI Number 1558403725
Status Active
Credentials ATC
Entity Individual
Enumeration date 02/13/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MT00058400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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