Susie Faltz
Individual provider Active NPI Private Vehicle · Smithfield, VA
NPI 1831684182 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1831684182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- T65520517 (VA)
- Practice address
- 208 Deer Spring LN
Smithfield, VA 23430-2942 - Phone
- (757) 357-0809
- Fax
- (757) 357-0809
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T65520517 | VA | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | T65520517 | VA | Yes |
Addresses
Primary practice location
208 Deer Spring LN
Smithfield, VA 23430-2942
Mailing address
208 Deer Spring LN
Smithfield, VA 23430-2942
Phone (757) 357-0809
Other providers in Smithfield, VA
- Alyssia Edwards
- Chelsea N Edwards
- Megan Elmore
- Empowerment Counseling Services LLC
- Encore Pilates and Physical Therapy
- Family Medical Care of Smithfield PLC
- Dianna Krystin Farrell
- Kimberley Irene Fedor
- Meagan Michelle Flaherty
- Focused Psychiatric and Mental Health Care Services, LLC
All providers in Smithfield, VA · Private Vehicle in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.