Wunderlich, Joanne Rue

Wunderlich, Joanne Rue is an individual health care provider with primary practice located at 1005 Commercial Ln Suite 220, Suffolk VA 23434-8149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wunderlich, Joanne Rue can be contacted via phone (757) 668-2600.

Contact Information

Primary practice address
1005 Commercial Ln Suite 220 Suffolk VA 23434-8149
Fax: (757) 668-2620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101052372 Virginia

Profile Details

NPI number 1821053422
LBN Legal business name Wunderlich, Joanne Rue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 25th, 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 1821053422 NPPES
North Carolina MEDICAID 890629C
North Carolina Other 370006854
North Carolina MEDICAID 6712525

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