| Sucteck, Inc | |
|
640 Warrior Dr Suite 109 Stephens City VA 22655-4076 | |
| (540) 868-2511 | |
| (540) 868-9105 |
| Full Name | Sucteck, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 640 Warrior Dr, Stephens City, Virginia |
| Authorized Official Name and Position | Charles A Middelhof (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5408682511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sucteck, Inc 640 Warrior Dr Suite 109 Stephens City VA 22655-4076 Ph: (540) 868-2511 | Sucteck, Inc 640 Warrior Dr Suite 109 Stephens City VA 22655-4076 Ph: (540) 868-2511 |
| NPI Number | 1770768731 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 07/14/2009 |
| Medicare PECOS PAC ID | 9537248471 |
|---|---|
| Medicare Enrollment ID | O20080505000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770768731 | NPI | - | NPPES |
| 1770768731 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles A Middelhof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750586236 PECOS PAC ID: 6709965650 Enrollment ID: I20080505000348 |
Stephens City Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 Warrior Dr, Stephens City, VA 22655 Phone: 540-868-4100 Fax: 540-868-0888 | |
Young Lim Dds Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Warrior Dr, Stephens City, VA 22655 Phone: 540-869-2600 |