Suarez, Elliot Damian
Suarez, Elliot Damian is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Suarez, Elliot Damian can be contacted via phone (336) 716-9253.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-3904
Phone: (336) 716-9253
Fax: (336) 713-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 205195 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022-00814 | North Carolina |
Profile Details
| NPI number | 1073595294 |
|---|---|
| LBN Legal business name | Suarez, Elliot Damian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Aug 30th, 2022 - about 4 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 | 1073595294 | NPPES |
| Massachusetts | MEDICAID | 0190331 | |
| Massachusetts | Other | J23613 | |
| Massachusetts | Other | 205195 |
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