Sutherland, Jewelle R
Sutherland, Jewelle R is an individual health care provider with primary practice located at 141 Route 70 E Ste B , Marlton NJ 08053-1855. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Sutherland, Jewelle R can be contacted via phone (856) 596-9057.Contact Information
Primary practice address
141 Route 70 E Ste B
Marlton NJ 08053-1855
Phone: (856) 596-9057
Fax: (856) 596-0837
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06384400 | New Jersey |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA06384400 | New Jersey |
Profile Details
NPI number | 1861482440 |
---|---|
LBN Legal business name | Sutherland, Jewelle R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Oct 22nd, 2020 - about 4 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 | 1861482440 | NPPES |
New Jersey | Other | 2127243000 | AMERIHEALTH HMO |
New Jersey | Other | CB7268 | AMERIHEALTH HMO |
New Jersey | Other | 001443342 | AMERIHEALTH HMO |
New Jersey | MEDICAID | 7324006 | AMERIHEALTH HMO |
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