Sutherland, Thomas
Sutherland, Thomas is an sole proprietor health care provider with primary practice located at 1115 Levee Rd , Saint Joseph LA 71366-6639. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sutherland, Thomas can be contacted via phone (318) 766-9115.Contact Information
Primary practice address
1115 Levee Rd
Saint Joseph LA 71366-6639
Phone: (318) 766-9115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2880 | Louisiana |
Profile Details
| NPI number | 1366531857 |
|---|---|
| LBN Legal business name | Sutherland, Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Dec 28th, 2011 - about 14 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 | 1366531857 | NPPES |
| Louisiana | Other | A58749004 | DRUG ENF ADM |
| Louisiana | Other | 2880 | DRUG ENF ADM |
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