Suyderhoud, Johan

Suyderhoud, Johan is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Suyderhoud, Johan can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax: (336) 716-3202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 18449 District of Columbia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2015019918 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2021-02174 North Carolina

Profile Details

NPI number 1013917855
LBN Legal business name Suyderhoud, Johan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013917855 NPPES
Missouri Other 2015019918 LICENSE

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