Church, Susan L
Church, Susan L is an individual health care provider with primary practice located at 100 Nash Medical Arts Mall , Rocky Mount NC 27804-1400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Church, Susan L can be contacted via phone (252) 451-3100.Contact Information
Primary practice address
100 Nash Medical Arts Mall
Rocky Mount NC 27804-1400
Phone: (252) 451-3100
Fax: (252) 451-3141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28956 | North Carolina |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 28956 | North Carolina |
Profile Details
| NPI number | 1093709701 |
|---|---|
| LBN Legal business name | Church, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Aug 22nd, 2007 - about 17 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 | 1093709701 | NPPES |
| North Carolina | Other | 22480 | BCBSNC |
| North Carolina | MEDICAID | 7922480 | BCBSNC |
| North Carolina | Other | 1521919 | BCBSNC |
| North Carolina | Other | 69963 | BCBSNC |
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