Suttle, Evelyn Amy

Suttle, Evelyn Amy is an individual health care provider with primary practice located at 161 E Lexington Rd , Mocksville NC 27028-2635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Suttle, Evelyn Amy can be contacted via phone (336) 753-6155.

Contact Information

Primary practice address
161 E Lexington Rd Mocksville NC 27028-2635
Phone: (336) 753-6155
Fax: (336) 753-1280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26159 North Carolina
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X

Profile Details

NPI number 1235107020
LBN Legal business name Suttle, Evelyn Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 7th, 2014 - about 12 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 1235107020 NPPES
North Carolina MEDICAID 8981055

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