Eick, Susan
Eick, Susan is an individual health care provider with primary practice located at 3712 Old Forest Rd Ste 500 , Lynchburg VA 24501-6959. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eick, Susan can be contacted via phone (434) 385-0744.Contact Information
Primary practice address
3712 Old Forest Rd Ste 500
Lynchburg VA 24501-6959
Phone: (434) 385-0744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 081003103 | Virginia |
Profile Details
| NPI number | 1124119516 |
|---|---|
| LBN Legal business name | Eick, Susan |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Oct 12th, 2021 - about 4 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 | 1124119516 | NPPES |
| Virginia | Other | P60607 | UPIN |
| Virginia | MEDICAID | 004945441 | UPIN |
| Virginia | Other | 386224 | UPIN |
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