Fabry, Susan K

Fabry, Susan K is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 3500, Huntington WV 25701-3656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fabry, Susan K can be contacted via phone (304) 691-1300.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 3500 Huntington WV 25701-3656
Fax: (304) 691-1330
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 27383 West Virginia

Profile Details

NPI number 1902860158
LBN Legal business name Fabry, Susan K
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 26th, 2012 - about 13 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 1902860158 NPPES
West Virginia MEDICAID 7102194000
West Virginia MEDICAID 2308363
West Virginia MEDICAID 78009610

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