Pica, Suzanne Marie
Pica, Suzanne Marie is an sole proprietor health care provider with primary practice located at 505 Shoppers Dr Suite 2, Winchester KY 40391. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pica, Suzanne Marie can be contacted via phone (859) 744-1358.Contact Information
Primary practice address
505 Shoppers Dr Suite 2
Winchester KY 40391
Phone: (859) 744-1358
Fax: (859) 744-3144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28114 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28114 | Kentucky |
Profile Details
| NPI number | 1538233184 |
|---|---|
| LBN Legal business name | Pica, Suzanne Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538233184 | NPPES |
| Kentucky | Other | 000000050542 | ANTHEM BLUE CROSS |
| Kentucky | MEDICAID | 64281140 | ANTHEM BLUE CROSS |
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