Suppes, Deborah Lee

Suppes, Deborah Lee is an individual health care provider with primary practice located at 2000 North Ave , Northfield MN 55057-1498. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Suppes, Deborah Lee can be contacted via phone (507) 646-1478.

Contact Information

Primary practice address
2000 North Ave Northfield MN 55057-1498
Phone: (507) 646-1478
Fax: (507) 646-1393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43578 Minnesota

Profile Details

NPI number 1538187778
LBN Legal business name Suppes, Deborah Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 10th, 2021 - about 5 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 1538187778 NPPES
Minnesota MEDICAID 690929900
Minnesota Other 160060011

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