Gawalt, Susan Jane
Gawalt, Susan Jane is an sole proprietor health care provider with primary practice located at 1002 Amherst St Bldg C, Winchester VA 22601-3323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gawalt, Susan Jane can be contacted via phone (540) 662-3853.Contact Information
Primary practice address
1002 Amherst St Bldg C
Winchester VA 22601-3323
Phone: (540) 662-3853
Fax: (540) 662-0336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101055943 | Virginia |
Profile Details
| NPI number | 1548294853 |
|---|---|
| LBN Legal business name | Gawalt, Susan Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1548294853 | NPPES |
| West Virginia | MEDICAID | 0111010000 | |
| West Virginia | Other | 234851 |
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