Adams, Sujin
Adams, Sujin is an sole proprietor health care provider with primary practice located at 3575 Keith St Nw , Cleveland TN 37312-4324. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is her primary health care specialty. Adams, Sujin can be contacted via phone (833) 979-0356.Contact Information
Primary practice address
3575 Keith St Nw
Cleveland TN 37312-4324
Phone: (833) 979-0356
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Ambulatory Health Care Facilities / Methadone | 261QM2800X |
Profile Details
NPI number | 1013626571 |
---|---|
LBN Legal business name | Adams, Sujin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 22nd, 2022 |
Last updated | Nov 22nd, 2022 - about 2 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 | 1013626571 | NPPES |
Other | 5874 | HEALTH PARTNERS | |
Other | 568946544 | HEALTH PARTNERS | |
MEDICAID | 236 | HEALTH PARTNERS |
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