Sussdorf, Claudia E.

Sussdorf, Claudia E. 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 Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sussdorf, Claudia E. can be contacted via phone (434) 924-0000.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101049316 Virginia

Profile Details

NPI number 1053302919
LBN Legal business name Sussdorf, Claudia E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 21st, 2019 - about 5 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 1053302919 NPPES
Virginia MEDICAID 6707831

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