Su, Cynthia C

Su, Cynthia C is an individual health care provider with primary practice located at 1788 Republic Rd Ste 200, Virginia Beach VA 23454-4552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Su, Cynthia C can be contacted via phone (757) 422-2966.

Contact Information

Primary practice address
1788 Republic Rd Ste 200 Virginia Beach VA 23454-4552
Fax: (757) 422-4563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101840416 Virginia

Profile Details

NPI number 1851337794
LBN Legal business name Su, Cynthia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1851337794 NPPES
North Carolina MEDICAID 890501L
North Carolina Other 2001309
North Carolina Other 23115888
North Carolina Other 259888
North Carolina Other 62840

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