Sutherland, G Lewis

Sutherland, G Lewis is an sole proprietor health care provider with primary practice located at 2387 Professioinal Heights Dr , Lexington KY 40503-3038. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sutherland, G Lewis can be contacted via phone (859) 278-7011.

Contact Information

Primary practice address
2387 Professioinal Heights Dr Lexington KY 40503-3038
Phone: (859) 278-7011
Fax: (859) 278-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 117 Kentucky

Profile Details

NPI number 1760476295
LBN Legal business name Sutherland, G Lewis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Mar 25th, 2011 - about 13 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 1760476295 NPPES
Kentucky MEDICAID 80001175

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