Smith, Susan B

Smith, Susan B is an individual health care provider with primary practice located at 1947 Medical Ave , Harrisonburg VA 22801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Susan B can be contacted via phone (540) 434-3004.

Contact Information

Primary practice address
1947 Medical Ave Harrisonburg VA 22801
Phone: (540) 434-3004
Fax: (540) 433-2540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101232129 Virginia

Profile Details

NPI number 1760456701
LBN Legal business name Smith, Susan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760456701 NPPES
Virginia Other 51642 OPTIMA
Virginia Other 148142 OPTIMA
Virginia Other 435309 OPTIMA
Virginia MEDICAID 006706843 OPTIMA
Virginia Other 2892616002 OPTIMA

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