Chudzik, Susan L

Chudzik, Susan L is an individual health care provider with primary practice located at 4735 Ogletown Stanton Rd Mapii Suite 2123, Newark DE 19713-2072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chudzik, Susan L can be contacted via phone (302) 225-3888.

Contact Information

Primary practice address
4735 Ogletown Stanton Rd Mapii Suite 2123 Newark DE 19713-2072
Phone: (302) 225-3888
Fax: (302) 731-7831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG0000243 Delaware

Profile Details

NPI number 1063415651
LBN Legal business name Chudzik, Susan L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 8th, 2016 - about 9 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 1063415651 NPPES
Delaware MEDICAID 0001089742

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