Suckow, Wendy Sue

Suckow, Wendy Sue is an individual health care provider with primary practice located at 8380 Riverwalk Park Blvd Ste 100 , Fort Myers FL 33919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Suckow, Wendy Sue can be contacted via phone (239) 343-9960.

Contact Information

Primary practice address
8380 Riverwalk Park Blvd Ste 100 Fort Myers FL 33919
Phone: (239) 343-9960
Fax: (239) 343-9977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101731 Florida

Profile Details

NPI number 1205804515
LBN Legal business name Suckow, Wendy Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Dec 27th, 2021 - about 4 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 1205804515 NPPES
Florida MEDICAID 102496300
Florida MEDICAID 100002372A

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