Wilson, Suzanne M
Wilson, Suzanne M is an individual health care provider with primary practice located at 1609 116Th Ave Ne , Bellevue WA 98004. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Wilson, Suzanne M can be contacted via phone (425) 283-5093.Contact Information
Primary practice address
1609 116Th Ave Ne
Bellevue WA 98004
Phone: (425) 283-5093
Fax: (425) 283-5093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO00000472 | Washington |
Profile Details
| NPI number | 1811984248 |
|---|---|
| LBN Legal business name | Wilson, Suzanne M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Mar 22nd, 2017 - about 8 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 | 1811984248 | NPPES |
| Washington | MEDICAID | 1098623 |
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