Wilson, Suzanne L
Wilson, Suzanne L is an individual health care provider with primary practice located at 205 Page Road , Pinehurst NC 28374-8798. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Wilson, Suzanne L can be contacted via phone (910) 295-5511.Contact Information
Primary practice address
205 Page Road
Pinehurst NC 28374-8798
Phone: (910) 295-5511
Fax: (910) 295-5481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01975 | North Carolina |
Profile Details
| NPI number | 1619996121 |
|---|---|
| LBN Legal business name | Wilson, Suzanne L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 17th, 2008 - about 18 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 | 1619996121 | NPPES |
| South Carolina | Other | N01975 | SC MEDICAID |
| South Carolina | Other | 144NO | SC MEDICAID |
| South Carolina | MEDICAID | 5905677 | SC MEDICAID |
| South Carolina | Other | 0407048 | SC MEDICAID |
| South Carolina | Other | 195533 | SC MEDICAID |
| South Carolina | Other | FH1100235 | SC MEDICAID |
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