Sutter, Jacqueline Burlett

Sutter, Jacqueline Burlett is an individual health care provider with primary practice located at 100 E Lancaster Ave Ste 230 , Wynnewood PA 19096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Sutter, Jacqueline Burlett can be contacted via phone (610) 642-3796.

Contact Information

Primary practice address
100 E Lancaster Ave Ste 230 Wynnewood PA 19096
Fax: (610) 642-2943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OT011365 Pennsylvania

Profile Details

NPI number 1417113325
LBN Legal business name Sutter, Jacqueline Burlett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Aug 22nd, 2019 - about 6 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 1417113325 NPPES
Pennsylvania MEDICAID 1025915970002

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