Wingo, Susan T

Wingo, Susan T is an individual health care provider with primary practice located at 1301 S Coulter St Suite 106, Amarillo TX 79106-1763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Wingo, Susan T can be contacted via phone (806) 350-7307.

Contact Information

Primary practice address
1301 S Coulter St Suite 106 Amarillo TX 79106-1763
Phone: (806) 350-7307
Fax: (806) 677-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X L6722 Texas

Profile Details

NPI number 1457397697
LBN Legal business name Wingo, Susan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 1st, 2023 - about 3 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 1457397697 NPPES
Texas MEDICAID 163988202

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