Suhr, Willie C

Suhr, Willie C is an individual health care provider with primary practice located at 800 Moorside Dr , Glendale CA 91207-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Suhr, Willie C can be contacted via phone (818) 507-7882.

Contact Information

Primary practice address
800 Moorside Dr Glendale CA 91207-1136
Fax: (818) 246-7387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A21044 California

Profile Details

NPI number 1871501361
LBN Legal business name Suhr, Willie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1871501361 NPPES
California MEDICAID 00A210440

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