Sue, Michael
Sue, Michael is an sole proprietor health care provider with primary practice located at 102 Northside Park , Elizabeth City NC 27909-9337. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Sue, Michael can be contacted via phone (252) 335-4619.Contact Information
Primary practice address
102 Northside Park
Elizabeth City NC 27909-9337
Phone: (252) 335-4619
Fax: (252) 335-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 9600169 | North Carolina |
| Other Service Providers / Specialist | 174400000X | 151718 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101048956 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101048956 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C1-0012813 | Delaware |
Profile Details
| NPI number | 1548245806 |
|---|---|
| LBN Legal business name | Sue, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Jan 11th, 2023 - about 3 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 | 1548245806 | NPPES |
| North Carolina | Other | 100008745 | RAILROAD MEDICARE |
| North Carolina | Other | 561976984 | RAILROAD MEDICARE |
| North Carolina | Other | 2954451 | RAILROAD MEDICARE |
| North Carolina | Other | 559662 | RAILROAD MEDICARE |
| North Carolina | Other | 80781 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 89807081 | RAILROAD MEDICARE |
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