Magenheimer, Susan G

Magenheimer, Susan G is an individual health care provider with primary practice located at 19455 Deerfield Avenue, Suite 204 , Leesburg VA 20176-8102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Magenheimer, Susan G can be contacted via phone (703) 858-1500.

Contact Information

Primary practice address
19455 Deerfield Avenue, Suite 204 Leesburg VA 20176-8102
Phone: (703) 858-1500
Fax: (703) 858-5022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN1022120 District of Columbia
Other Service Providers / Midwife 176B00000X 0024165070 Virginia

Profile Details

NPI number 1154614048
LBN Legal business name Magenheimer, Susan G
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated Oct 31st, 2023 - about 2 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 1154614048 NPPES
Virginia MEDICAID 1154614048
Virginia MEDICAID 30016809680001

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