Suchowiecky, David

Suchowiecky, David is an individual health care provider with primary practice located at 47825 Oasis St , Indio CA 92201-6950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Suchowiecky, David can be contacted via phone (760) 863-8455.

Contact Information

Primary practice address
47825 Oasis St Indio CA 92201-6950
Phone: (760) 863-8455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X F2956 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C54054 California

Profile Details

NPI number 1811184039
LBN Legal business name Suchowiecky, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Dec 28th, 2023 - about last year

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 1811184039 NPPES
Texas Other 87W480 BLUE CROSS BLUE SHIELD TX
Texas Other 10021259 BLUE CROSS BLUE SHIELD TX
Texas MEDICAID 115032802 BLUE CROSS BLUE SHIELD TX

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