Sutphin, Rebecca L

Sutphin, Rebecca L is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Sutphin, Rebecca L can be contacted via phone (910) 450-3902.

Contact Information

Primary practice address
100 Brewster Blvd Camp Lejeune NC 28547-2575
Phone: (910) 450-3902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05853 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110001067 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0000000910 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-05853 North Carolina

Profile Details

NPI number 1356307664
LBN Legal business name Sutphin, Rebecca L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 10th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356307664 NPPES
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other P01041461 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB
Virginia Other 540506332108 MEDICAID QMB
Virginia Other 1356307664 MEDICAID QMB

Popular Providers