Suchomski, Sandra Jean

Suchomski, Sandra Jean is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Neonatology, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Suchomski, Sandra Jean can be contacted via phone (904) 244-4254.

Contact Information

Primary practice address
655 W 8Th St Ufjp Neonatology Jacksonville FL 32209-6511
Phone: (904) 244-4254
Fax: (904) 244-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME70691 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME70691 Florida

Profile Details

NPI number 1295794873
LBN Legal business name Suchomski, Sandra Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 6th, 2008 - about 17 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 1295794873 NPPES
Georgia MEDICAID 000712346A
Georgia MEDICAID 2500051-00
Georgia Other 370007156

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