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
Phone: (757) 422-2966
Fax: (757) 422-4563
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 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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