Aylesworth, Susannah
Aylesworth, Susannah is an individual health care provider with primary practice located at 5211 S College Rd , Wilmington NC 28412-2209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Aylesworth, Susannah can be contacted via phone (910) 341-3300.Contact Information
Primary practice address
5211 S College Rd
Wilmington NC 28412-2209
Phone: (910) 341-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0200994 | North Carolina |
Profile Details
| NPI number | 1952416208 |
|---|---|
| LBN Legal business name | Aylesworth, Susannah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Apr 15th, 2021 - about 4 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 | 1952416208 | NPPES |
| North Carolina | Other | C9226 | MEDCOST |
| North Carolina | Other | 1827737 | MEDCOST |
| North Carolina | MEDICAID | 89132R1 | MEDCOST |
| North Carolina | Other | 132R1 | MEDCOST |
| North Carolina | Other | 2234095 | MEDCOST |
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