Ickes, Suzanne Carol
Ickes, Suzanne Carol is an sole proprietor health care provider with primary practice located at 2545 Schoenersville Rd Lehighvalley Hospital -Clinical Nutrition, Bethlehem PA 18017-7300. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ickes, Suzanne Carol can be contacted via phone (484) 788-1255.Contact Information
Primary practice address
2545 Schoenersville Rd Lehighvalley Hospital -Clinical Nutrition
Bethlehem PA 18017-7300
Phone: (484) 788-1255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DN001762 | Pennsylvania |
Profile Details
| NPI number | 1124236385 |
|---|---|
| LBN Legal business name | Ickes, Suzanne Carol |
| Credentials | R.D., LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2007 |
| Last updated | Sep 28th, 2016 - about 8 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 | 1124236385 | NPPES |
| Pennsylvania | Other | 2630546000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 2630546000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 001793520 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 2624640 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 2630546000 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 055154 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 001793520000 | INDEPENDENCE BLUE CROSS |
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