Deckelbaum, Suzanne W
Deckelbaum, Suzanne W is an individual health care provider with primary practice located at 350 Fording Island Rd Ste 100 , Bluffton SC 29910-5168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Deckelbaum, Suzanne W can be contacted via phone (843) 837-4400.Contact Information
Primary practice address
350 Fording Island Rd Ste 100
Bluffton SC 29910-5168
Phone: (843) 837-4400
Fax: (843) 837-4440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1714 | South Carolina |
Profile Details
NPI number | 1154359412 |
---|---|
LBN Legal business name | Deckelbaum, Suzanne W |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1154359412 | NPPES |
South Carolina | Other | 1714 | SC MEDICAL LICENSE |
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