Eby, Susan Sanford
Eby, Susan Sanford is an sole proprietor health care provider with primary practice located at 3344 Sheffield Ct , Falls Church VA 22042-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Eby, Susan Sanford can be contacted via phone (865) 254-3984.Contact Information
Primary practice address
3344 Sheffield Ct
Falls Church VA 22042-3522
Phone: (865) 254-3984
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN101035 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN7016 | Tennessee |
Profile Details
| NPI number | 1295734903 |
|---|---|
| LBN Legal business name | Eby, Susan Sanford |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Feb 21st, 2021 - about 5 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 | 1295734903 | NPPES |
| Tennessee | MEDICAID | 3908549 | |
| Tennessee | Other | 3908549 |
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