Upton, Sue Ann
Upton, Sue Ann is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 200, Charleston WV 25302-3302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Upton, Sue Ann can be contacted via phone (304) 343-1863.Contact Information
Primary practice address
830 Pennsylvania Ave Suite 200
Charleston WV 25302-3302
Phone: (304) 343-1863
Fax: (304) 344-1755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18217 | West Virginia |
Profile Details
| NPI number | 1922061076 |
|---|---|
| LBN Legal business name | Upton, Sue Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 8th, 2011 - about 13 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 | 1922061076 | NPPES |
| West Virginia | MEDICAID | 1003000000 |
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