Buenaventura, Susan K

Buenaventura, Susan K is an sole proprietor health care provider with primary practice located at 5425 Duke Street , Alexandria VA 22304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Buenaventura, Susan K can be contacted via phone (703) 751-0800.

Contact Information

Primary practice address
5425 Duke Street Alexandria VA 22304
Phone: (703) 751-0800
Fax: (703) 751-4378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101051213 Virginia
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 9400735 North Carolina

Profile Details

NPI number 1336111491
LBN Legal business name Buenaventura, Susan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336111491 NPPES
Virginia Other 184854 ANTHEM
Virginia Other 4819 ANTHEM

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