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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1649230913 | NPPES |
North Carolina | MEDICAID | 8980996 |
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