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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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