Sudduth, Robert Herdman

Sudduth, Robert Herdman is an individual health care provider with primary practice located at 2200 Nw Myhre Rd , Silverdale WA 98383-7681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Sudduth, Robert Herdman can be contacted via phone (360) 830-1205.

Contact Information

Primary practice address
2200 Nw Myhre Rd Silverdale WA 98383-7681
Phone: (360) 830-1205
Fax: (360) 830-1281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00025993 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00025993 Washington

Profile Details

NPI number 1184651192
LBN Legal business name Sudduth, Robert Herdman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 7th, 2023 - about 2 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 1184651192 NPPES
Washington Other 117877 LABOR & INDUSTRIES
Washington Other 5440589 LABOR & INDUSTRIES
Washington MEDICAID 8214132 LABOR & INDUSTRIES
Washington Other SU0778 LABOR & INDUSTRIES
Washington Other 110162832 LABOR & INDUSTRIES

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