Provider Demographics
NPI:1881827525
Name:BELLOT, SUSANA
Entity Type:Individual
Prefix:MRS
First Name:SUSANA
Middle Name:
Last Name:BELLOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-0391
Mailing Address - Country:US
Mailing Address - Phone:859-274-5513
Mailing Address - Fax:
Practice Address - Street 1:4815 MC CORMICK RD
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-0391
Practice Address - Country:US
Practice Address - Phone:859-274-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter