Sutherland, Charles
Sutherland, Charles is an sole proprietor health care provider with primary practice located at 2101 Corona Rd Ste 102 , Columbia MO 65203-2582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sutherland, Charles can be contacted via phone (573) 234-1800.Contact Information
Primary practice address
2101 Corona Rd Ste 102
Columbia MO 65203-2582
Phone: (573) 234-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 113731 | Missouri |
Profile Details
| NPI number | 1619945300 |
|---|---|
| LBN Legal business name | Sutherland, Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 21st, 2023 - about last year |
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 | 1619945300 | NPPES |
| Missouri | MEDICAID | 245101407 |
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