Brickle, Susan
Brickle, Susan is an individual health care provider with primary practice located at 120 E Carter Ave , Blackshear GA 31516-1561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brickle, Susan can be contacted via phone (912) 449-4426.Contact Information
Primary practice address
120 E Carter Ave
Blackshear GA 31516-1561
Phone: (912) 449-4426
Fax: (912) 449-1059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 031883 | Georgia |
Profile Details
| NPI number | 1407876188 |
|---|---|
| LBN Legal business name | Brickle, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407876188 | NPPES |
| Georgia | MEDICAID | 00734467E |
Popular Providers
-
Zabel, Christine M
1999 Sproul Rd Suite 21, Broomall PA 19008-3508 -
Brehio, Teri L
15 Antrim Rd Hdfh, Hillsboro NH 03244-5204 -
Davis, Thomas W
147 Longleaf Dr , Blackshear GA 31516-2715 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
D'Ambrosio, Umberto
1212 S Main St , Salinas CA 93901-2260 -
Braham, Jeffery T
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Killian, James Wendall
402 Cumberland Ave , Williamsburg KY 40769-1238