Sue, Michael

Sue, Michael is an sole proprietor health care provider with primary practice located at 102 Northside Park , Elizabeth City NC 27909-9337. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Sue, Michael can be contacted via phone (252) 335-4619.

Contact Information

Primary practice address
102 Northside Park Elizabeth City NC 27909-9337
Phone: (252) 335-4619
Fax: (252) 335-5744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 9600169 North Carolina
Other Service Providers / Specialist 174400000X 151718 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101048956 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101048956 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C1-0012813 Delaware

Profile Details

NPI number 1548245806
LBN Legal business name Sue, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Jan 11th, 2023 - about 2 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 1548245806 NPPES
North Carolina Other 100008745 RAILROAD MEDICARE
North Carolina Other 561976984 RAILROAD MEDICARE
North Carolina Other 2954451 RAILROAD MEDICARE
North Carolina Other 559662 RAILROAD MEDICARE
North Carolina Other 80781 RAILROAD MEDICARE
North Carolina MEDICAID 89807081 RAILROAD MEDICARE

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