Ketcham, Susan Adele
Ketcham, Susan Adele is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ketcham, Susan Adele can be contacted via phone (434) 297-6016.Contact Information
Primary practice address
1215 Lee St
Charlottesville VA 22908-0816
Phone: (434) 297-6016
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 0024182547 | Virginia |
Profile Details
NPI number | 1689345365 |
---|---|
LBN Legal business name | Ketcham, Susan Adele |
Credentials | MSN RN AGCNS-BC CPAN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2021 |
Last updated | Sep 23rd, 2021 - about 3 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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