Suclupe, Roger
Suclupe, Roger is an individual health care provider with primary practice located at 6800 Saint Peters Lane Thompson Child And Family Focus, Matthews NC 28105-8458. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Suclupe, Roger can be contacted via phone (704) 644-4342.Contact Information
Primary practice address
6800 Saint Peters Lane Thompson Child And Family Focus
Matthews NC 28105-8458
Phone: (704) 644-4342
Fax: (704) 531-9266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005151 | North Carolina |
Profile Details
| NPI number | 1700804747 |
|---|---|
| LBN Legal business name | Suclupe, Roger |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 17th, 2012 - 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 | 1700804747 | NPPES |
| North Carolina | MEDICAID | 6106139 |
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