Northcutt, Suzanne N.
Northcutt, Suzanne N. is an individual health care provider with primary practice located at 3601 4Th St Ste 1C282, Lubbock TX 79430-8182. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Northcutt, Suzanne N. can be contacted via phone (806) 743-2981.Contact Information
Primary practice address
3601 4Th St Ste 1C282
Lubbock TX 79430-8182
Phone: (806) 743-2981
Fax: (806) 743-2984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L0154 | Texas |
Profile Details
| NPI number | 1053317743 |
|---|---|
| LBN Legal business name | Northcutt, Suzanne N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 9th, 2021 - about 5 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 | 1053317743 | NPPES |
| Texas | MEDICAID | 106163201 | |
| Texas | Other | 112357100 | |
| Texas | Other | 84337Z | |
| Texas | MEDICAID | 100159300A | |
| Texas | MEDICAID | 106163202 | |
| Texas | MEDICAID | 69256 | |
| Texas | Other | A401 | |
| Texas | Other | 69256 | |
| Texas | Other | 82631X | |
| Texas | MEDICAID | 112357102 | |
| Texas | MEDICAID | G0808 |
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