Feyock, Susan M
Feyock, Susan M is an sole proprietor health care provider with primary practice located at 1850 Town Center Parkway Reston Hospital Center, Reston VA 20190. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Feyock, Susan M can be contacted via phone (703) 471-0919.Contact Information
Primary practice address
1850 Town Center Parkway Reston Hospital Center
Reston VA 20190
Phone: (703) 471-0919
Fax: (703) 742-9081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 0001173413 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024164710 | Virginia |
Profile Details
NPI number | 1891775011 |
---|---|
LBN Legal business name | Feyock, Susan M |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2006 |
Last updated | Dec 29th, 2010 - about 15 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 | 1891775011 | NPPES |
Other | P00218233 | RAILROAD MEDICARE | |
MEDICAID | 010042836 | RAILROAD MEDICARE |
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