Sudduth, David Lloyd

Sudduth, David Lloyd is an individual health care provider with primary practice located at 480 Osborne Rd Ne Ste And200 , Fridley MN 55432-2773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sudduth, David Lloyd can be contacted via phone (763) 236-3800.

Contact Information

Primary practice address
480 Osborne Rd Ne Ste And200 Fridley MN 55432-2773
Phone: (763) 236-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 32991 Minnesota

Profile Details

NPI number 1740250216
LBN Legal business name Sudduth, David Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 14th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740250216 NPPES
Other 1507725 UBH
Other 1012793 UBH
Other 1507725 UBH
Other 260032841 UBH
MEDICAID 275207700 UBH
Other 596821 UBH
Other 596821 UBH
Other 259466 UBH
Other 108461 UBH
Other 33A45SU UBH

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