Suleske, Susan Benton

Suleske, Susan Benton is an individual health care provider with primary practice located at 2503 S Seminole Trl , Madison VA 22727-2690. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Suleske, Susan Benton can be contacted via phone (540) 948-6871.

Contact Information

Primary practice address
2503 S Seminole Trl Madison VA 22727-2690
Fax: (540) 948-6601
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-003217 Virginia

Profile Details

NPI number 1982928735
LBN Legal business name Suleske, Susan Benton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated May 17th, 2019 - about 7 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 1982928735 NPPES
Virginia MEDICAID 1982928735
Virginia Other VVP063A

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