Aycock, Susan E
Aycock, Susan E is an individual health care provider with primary practice located at 304 Jefferson St , Whiteville NC 28472-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Aycock, Susan E can be contacted via phone (910) 640-6615.Contact Information
Primary practice address
304 Jefferson St
Whiteville NC 28472-3602
Phone: (910) 640-6615
Fax: (910) 640-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32982 | North Carolina |
Profile Details
| NPI number | 1639268840 |
|---|---|
| LBN Legal business name | Aycock, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 13th, 2017 - about 9 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 | 1639268840 | NPPES |
| North Carolina | MEDICAID | 8912407 | |
| North Carolina | Other | 12407 |
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