Mattox, Suzanne P
Mattox, Suzanne P is an individual health care provider with primary practice located at 6308 8Th Avenue Suite 2000, Kenosha WI 53143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mattox, Suzanne P can be contacted via phone (262) 653-5300.Contact Information
Primary practice address
6308 8Th Avenue Suite 2000
Kenosha WI 53143
Phone: (262) 653-5300
Fax: (262) 653-5412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31946 | Wisconsin |
Profile Details
| NPI number | 1659327583 |
|---|---|
| LBN Legal business name | Mattox, Suzanne P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 13th, 2008 - about 16 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 | 1659327583 | NPPES |
| Wisconsin | MEDICAID | 31708500 |
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