Blick, Susan Katherine

Blick, Susan Katherine is an individual health care provider with primary practice located at 2900 Lamb Cir Ste 7-700A , Christiansburg VA 24073-6344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blick, Susan Katherine can be contacted via phone (540) 731-7460.

Contact Information

Primary practice address
2900 Lamb Cir Ste 7-700A Christiansburg VA 24073-6344
Fax: (540) 731-1081
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN143856 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024174390 Virginia

Profile Details

NPI number 1114905585
LBN Legal business name Blick, Susan Katherine
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114905585 NPPES
Georgia Other RN143856 NP LICENSE
Georgia MEDICAID 000964554B LICENSE

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