Suttle, Evelyn Amy
Suttle, Evelyn Amy is an individual health care provider with primary practice located at 161 E Lexington Rd , Mocksville NC 27028-2635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Suttle, Evelyn Amy can be contacted via phone (336) 753-6155.Contact Information
Primary practice address
161 E Lexington Rd
Mocksville NC 27028-2635
Phone: (336) 753-6155
Fax: (336) 753-1280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26159 | North Carolina |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X |
Profile Details
| NPI number | 1235107020 |
|---|---|
| LBN Legal business name | Suttle, Evelyn Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Aug 7th, 2014 - about 10 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 | 1235107020 | NPPES |
| North Carolina | MEDICAID | 8981055 |
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