Provider Demographics
NPI:1083715411
Name:EARSING, SUSAN LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LYNN
Last Name:EARSING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:804 E MAIN ST
Mailing Address - Street 2:STE A2
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2919
Mailing Address - Country:US
Mailing Address - Phone:540-587-0200
Mailing Address - Fax:540-587-0935
Practice Address - Street 1:667 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-2801
Practice Address - Country:US
Practice Address - Phone:434-332-3103
Practice Address - Fax:434-332-3103
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0104555850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA244964OtherANTHEM BLUE CROSS/BS
VAU85049Medicare UPIN