Mackie-Lee, Susanne Blanchette

Mackie-Lee, Susanne Blanchette is an individual health care provider with primary practice located at 7500 Iron Bar Ln , Gainesville VA 20155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mackie-Lee, Susanne Blanchette can be contacted via phone (703) 753-6772.

Contact Information

Primary practice address
7500 Iron Bar Ln Gainesville VA 20155
Phone: (703) 753-6772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101055325 Virginia

Profile Details

NPI number 1073504759
LBN Legal business name Mackie-Lee, Susanne Blanchette
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 17th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073504759 NPPES
Virginia MEDICAID 006731911

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