Sutton-Surak, Audrey Lynn

Sutton-Surak, Audrey Lynn is an individual health care provider with primary practice located at 1013 Porters Neck Rd Suite 100, Wilmington NC 28411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sutton-Surak, Audrey Lynn can be contacted via phone (910) 686-1099.

Contact Information

Primary practice address
1013 Porters Neck Rd Suite 100 Wilmington NC 28411
Phone: (910) 686-1099
Fax: (910) 686-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB6325500 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200501955 North Carolina

Profile Details

NPI number 1922080811
LBN Legal business name Sutton-Surak, Audrey Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 6th, 2018 - about 8 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 1922080811 NPPES
Other 1378260 UNITED HEATHCARE
Other 5231159 UNITED HEATHCARE
MEDICAID 5904062 UNITED HEATHCARE
Other 9614555 UNITED HEATHCARE

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