Barry, John Sutherland
Barry, John Sutherland is an individual health care provider with primary practice located at 1111 Highway 73 , Moose Lake MN 55767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Barry, John Sutherland can be contacted via phone (218) 565-6283.Contact Information
Primary practice address
1111 Highway 73
Moose Lake MN 55767
Phone: (218) 565-6283
Fax: (651) 431-7631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44643 | Minnesota |
Profile Details
| NPI number | 1023095874 |
|---|---|
| LBN Legal business name | Barry, John Sutherland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 11th, 2018 - about 6 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 | 1023095874 | NPPES |
| Minnesota | MEDICAID | 771183200 |
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