Sutter, Rosanne L

Sutter, Rosanne L is an individual health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sutter, Rosanne L can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-103098 Illinois

Profile Details

NPI number 1154422673
LBN Legal business name Sutter, Rosanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 19th, 2007 - about 17 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 1154422673 NPPES
Illinois MEDICAID 036103098
Illinois Other 08232204

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