Cdebaca, Carol Sue
Cdebaca, Carol Sue is an individual health care provider with primary practice located at 101 Knotbreak Rd , Salem VA 24153-5404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cdebaca, Carol Sue can be contacted via phone (540) 444-4020.Contact Information
Primary practice address
101 Knotbreak Rd
Salem VA 24153-5404
Phone: (540) 444-4020
Fax: (540) 857-5306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110002628 | Virginia |
Profile Details
| NPI number | 1154518900 |
|---|---|
| LBN Legal business name | Cdebaca, Carol Sue |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Nov 26th, 2019 - about 6 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 | 1154518900 | NPPES |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | P01464014 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 540506332115 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| Virginia | Other | 1154518900 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
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