Dubeck, Suzanne Andrea

Dubeck, Suzanne Andrea is an individual health care provider with primary practice located at 111 Otis Smith Dr , Clarksville TN 37043-8940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dubeck, Suzanne Andrea can be contacted via phone (931) 553-6666.

Contact Information

Primary practice address
111 Otis Smith Dr Clarksville TN 37043-8940
Phone: (931) 553-6666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN0000112635 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000007482 Tennessee

Profile Details

NPI number 1891761144
LBN Legal business name Dubeck, Suzanne Andrea
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 11th, 2018 - about 8 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 1891761144 NPPES
Tennessee MEDICAID Q022026

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