Sutphin, Rebecca L
Sutphin, Rebecca L is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Sutphin, Rebecca L can be contacted via phone (910) 450-3902.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-3902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-05853 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110001067 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0000000910 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0010-05853 | North Carolina |
Profile Details
| NPI number | 1356307664 |
|---|---|
| LBN Legal business name | Sutphin, Rebecca L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356307664 | NPPES |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | P01041461 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
| Virginia | Other | 540506332108 | MEDICAID QMB |
| Virginia | Other | 1356307664 | MEDICAID QMB |
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