Scipio - Ettienne, Suzette

Scipio - Ettienne, Suzette is an individual health care provider with primary practice located at 2905 Mitchellville Rd Ste 115, Bowie MD 20716-1385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Scipio - Ettienne, Suzette can be contacted via phone (301) 390-7960.

Contact Information

Primary practice address
2905 Mitchellville Rd Ste 115 Bowie MD 20716-1385
Phone: (301) 390-7960
Fax: (301) 218-2800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0046373 Maryland

Profile Details

NPI number 1730252594
LBN Legal business name Scipio - Ettienne, Suzette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 11th, 2014 - about 12 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 1730252594 NPPES
Maryland MEDICAID 363101000

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