Sutherland, Kenneth Bruce
Sutherland, Kenneth Bruce is an sole proprietor health care provider with primary practice located at 7800 Metro Pkwy Suite 300, Bloomington MN 55425-1514. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sutherland, Kenneth Bruce can be contacted via phone (952) 854-6066.Contact Information
Primary practice address
7800 Metro Pkwy Suite 300
Bloomington MN 55425-1514
Phone: (952) 854-6066
Fax: (952) 854-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1175 | Minnesota |
Profile Details
| NPI number | 1952434029 |
|---|---|
| LBN Legal business name | Sutherland, Kenneth Bruce |
| Credentials | L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1952434029 | NPPES |
| Minnesota | Other | 553869 | VALUE OPTIONS |
| Minnesota | Other | 990990306005 | VALUE OPTIONS |
| Minnesota | Other | 101776 | VALUE OPTIONS |
| Minnesota | Other | 6237451 | VALUE OPTIONS |
| Minnesota | Other | 3033056 | VALUE OPTIONS |
| Minnesota | Other | 64G51SU | VALUE OPTIONS |
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