Hendricks, Susan K
Hendricks, Susan K is an sole proprietor health care provider with primary practice located at 590 15Th St S Apt 145, Arlington VA 22202-2872. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Hendricks, Susan K can be contacted via phone (703) 418-0234.Contact Information
Primary practice address
590 15Th St S Apt 145
Arlington VA 22202-2872
Phone: (703) 418-0234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4201042151 | Michigan |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 304262 | Louisiana |
Profile Details
| NPI number | 1730169186 |
|---|---|
| LBN Legal business name | Hendricks, Susan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jan 18th, 2017 - about 7 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 | 1730169186 | NPPES |
| Michigan | Other | CA2184 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 2433610 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 4504927 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 06979534 | RAILROAD MEDICARE |
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