Roberts-Suchon, Sharon R
Roberts-Suchon, Sharon R is an individual health care provider with primary practice located at 100 Carr Road , Plymouth WI 53073-0600. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Roberts-Suchon, Sharon R can be contacted via phone (920) 893-3937.Contact Information
Primary practice address
100 Carr Road
Plymouth WI 53073-0600
Phone: (920) 893-3937
Fax: (920) 892-6668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | WI2028 | Wisconsin |
Profile Details
| NPI number | 1447242144 |
|---|---|
| LBN Legal business name | Roberts-Suchon, Sharon R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jan 22nd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447242144 | NPPES |
| Wisconsin | MEDICAID | 38526500 |
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