Suter, Roger Phillip
Suter, Roger Phillip is an individual health care provider with primary practice located at 2017 E Pike St , Clarksburg WV 26301-6013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Suter, Roger Phillip can be contacted via phone (304) 623-1888.Contact Information
Primary practice address
2017 E Pike St
Clarksburg WV 26301-6013
Phone: (304) 623-1888
Fax: (304) 624-5500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3537 | West Virginia |
Profile Details
| NPI number | 1225126683 |
|---|---|
| LBN Legal business name | Suter, Roger Phillip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225126683 | NPPES |
| West Virginia | MEDICAID | 4005064-000 |
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