Sutphin, Michael
Sutphin, Michael is an sole proprietor health care provider with primary practice located at 1180 College Drive , Rock Springs WY 82901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sutphin, Michael can be contacted via phone (307) 362-4200.Contact Information
Primary practice address
1180 College Drive
Rock Springs WY 82901
Phone: (307) 362-4200
Fax: (307) 362-5406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 3547A | Wyoming |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 166834-1205 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G42452 | California |
Profile Details
| NPI number | 1871693838 |
|---|---|
| LBN Legal business name | Sutphin, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Nov 19th, 2014 - about 10 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 | 1871693838 | NPPES |
| Wyoming | MEDICAID | 104849000 | |
| Wyoming | Other | 2266 | |
| Wyoming | Other | 340001047 | |
| Wyoming | Other | 1312335 |
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