Sudduth, Lynn Susanne

Sudduth, Lynn Susanne is an individual health care provider with primary practice located at 19245 7Th Ave Ne , Poulsbo WA 98370-7504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Sudduth, Lynn Susanne can be contacted via phone (360) 782-3500.

Contact Information

Primary practice address
19245 7Th Ave Ne Poulsbo WA 98370-7504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00024682 Washington

Profile Details

NPI number 1942245824
LBN Legal business name Sudduth, Lynn Susanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 7th, 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 1942245824 NPPES
Other 070012924 RAILROAD MEDICARE
Other 100670 RAILROAD MEDICARE
MEDICAID 1089853 RAILROAD MEDICARE
Other 1918SU RAILROAD MEDICARE
Other 4648199 RAILROAD MEDICARE

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