Sutmiller, Donald L

Sutmiller, Donald L is an individual health care provider with primary practice located at 119 W Main St , Hominy OK 74035-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Sutmiller, Donald L can be contacted via phone (918) 885-4640.

Contact Information

Primary practice address
119 W Main St Hominy OK 74035-1031
Phone: (918) 885-4640
Fax: (918) 885-4644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2274 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2274 Oklahoma

Profile Details

NPI number 1629052311
LBN Legal business name Sutmiller, Donald L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Dec 28th, 2017 - about 9 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 1629052311 NPPES
Oklahoma MEDICAID 100135850A

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