Provider Demographics
NPI:1629304886
Name:BURKET, SUSAN L (ARRT (CT))
Entity Type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:L
Last Name:BURKET
Suffix:
Gender:F
Credentials:ARRT (CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RAMPART CT
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-9346
Mailing Address - Country:US
Mailing Address - Phone:724-335-5738
Mailing Address - Fax:724-335-5738
Practice Address - Street 1:100 RAMPART CT
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-9346
Practice Address - Country:US
Practice Address - Phone:724-335-5738
Practice Address - Fax:724-335-5738
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT575992471C3401X
MERT400041472471C3401X
CARHT848422471C3401X
MDR00058832471C3401X
HIR18142471C3401X
SC0063302471C3401X
AZ115542471C3401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography