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
Fax: (843) 837-4440
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154359412 NPPES
South Carolina Other 1714 SC MEDICAL LICENSE

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