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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730252594 | NPPES |
| Maryland | MEDICAID | 363101000 |
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