Back, Sudie E

Back, Sudie E is an individual health care provider with primary practice located at 125 Doughty Street Suite 120, Charleston SC 29425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Back, Sudie E can be contacted via phone (843) 792-5215.

Contact Information

Primary practice address
125 Doughty Street Suite 120 Charleston SC 29425
Phone: (843) 792-5215
Fax: (843) 792-0528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1024 South Carolina

Profile Details

NPI number 1164478723
LBN Legal business name Back, Sudie E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 29th, 2020 - 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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