Sunderman, Michael Robert

Sunderman, Michael Robert is an individual health care provider with primary practice located at 2460 Curtis Ellis Dr , Rocky Mount NC 27804-2237. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Other Service Providers / Specialist is his primary health care specialty. Sunderman, Michael Robert can be contacted via phone (252) 962-3340.

Contact Information

Primary practice address
2460 Curtis Ellis Dr Rocky Mount NC 27804-2237
Phone: (252) 962-3340
Fax: (252) 962-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24534 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24534 North Carolina

Profile Details

NPI number 1649230913
LBN Legal business name Sunderman, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 4th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649230913 NPPES
North Carolina MEDICAID 8980996

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