Sudo, Michelle K
Sudo, Michelle K is an individual health care provider with primary practice located at 1102 Highway 315 Blvd , Wilkes Barre PA 18702-6943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sudo, Michelle K can be contacted via phone (570) 235-1470.Contact Information
Primary practice address
1102 Highway 315 Blvd
Wilkes Barre PA 18702-6943
Phone: (570) 235-1470
Fax: (570) 550-9356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS009616L | Pennsylvania |
Profile Details
| NPI number | 1215905864 |
|---|---|
| LBN Legal business name | Sudo, Michelle K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 20th, 2018 - about 6 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 | 1215905864 | NPPES |
| Pennsylvania | MEDICAID | 001677040 |
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