MEDICARE: SUCTECK, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770768731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUCTECK, INC

Provider Business Mailing Address
First Line	:	640 WARRIOR DR
Second Line	:	SUITE 109
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4076
Country	:	US
Telephone Number	:	540-868-2511
Fax Number	:	540-868-9105

Provider Business Practice Location Address
First Line	:	640 WARRIOR DR
Second Line	:	SUITE 109
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-4076
Country	:	US
Telephone Number	:	540-868-2511
Fax Number	:	540-868-9105

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	CHARLES A MIDDELHOF
Credential	:	MD
Telephone Number	:	540-868-2511

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	07/14/2009

Similar Medicare Providers

1932182482 — DR. JESSICA M FORRER DPT
Practice Location Address:

640 WARRIOR DR STE 115
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-868-9599
Practice Fax: 540-868-9699

1750586236 — DR. CHARLES A MIDDELHOF M.D.
Practice Location Address:

640 WARRIOR DR , SUITE 109
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-868-2511
Practice Fax:

1710135546 — SPINE & SPORT PHYSICAL THERAPY, PLLC
Practice Location Address:

640 WARRIOR DR , SUITE 115
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-868-9599
Practice Fax:

1154722734 — PHILIP JUSTICE
Practice Location Address:

640 WARRIOR DR , SUITE 115
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-868-9599
Practice Fax:

1740661107 — DR. RYAN P DANTE PT, DPT
Practice Location Address:

640 WARRIOR DR , SUITE 115
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-868-9599
Practice Fax: 540-868-9699

1124744222 — GENTLE FAMILY DENTISTRY OF STEPHENS CITY PLLC
Practice Location Address:

640 WARRIOR DR STE 114
STEPHENS CITY, VA
22655-4076

Practice Phone: 540-866-2900
Practice Fax: 540-508-2989

Directions to “SUCTECK, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.