Sutherland, Philip Lee

Sutherland, Philip Lee is an individual health care provider with primary practice located at 5 Coliseum Ave , Nashua NH 03063-3292. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sutherland, Philip Lee can be contacted via phone (603) 882-9800.

Contact Information

Primary practice address
5 Coliseum Ave Nashua NH 03063-3292
Fax: (603) 882-0556
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0502 New Hampshire

Profile Details

NPI number 1720083819
LBN Legal business name Sutherland, Philip Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 11th, 2022 - about 3 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 1720083819 NPPES
New Hampshire MEDICAID 30001760

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