Individual
THOMAS SUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 W MARKET ST # 1, PAGE, NE 68766-5035
(402) 961-0541
Mailing address
402 W MARKET ST # 1, PAGE, NE 68766-5035
(402) 961-0541
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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