Sudy, Donald J

Sudy, Donald J is an individual health care provider with primary practice located at 4423 Sharon Rd , Charlotte NC 28211-3520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Sudy, Donald J can be contacted via phone (704) 362-2232.

Contact Information

Primary practice address
4423 Sharon Rd Charlotte NC 28211-3520
Phone: (704) 362-2232
Fax: (704) 362-2252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200201009 North Carolina
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 200201009 North Carolina

Profile Details

NPI number 1174705396
LBN Legal business name Sudy, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Aug 10th, 2010 - about 16 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 1174705396 NPPES
Other 7019449 AETNA
MEDICAID 89131YC AETNA

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