Sutterlin, John Douglas
Sutterlin, John Douglas is an individual health care provider with primary practice located at 7 S Alliance Dr Ste 211B , Goose Creek SC 29445-7269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sutterlin, John Douglas can be contacted via phone (843) 553-4383.Contact Information
Primary practice address
7 S Alliance Dr Ste 211B
Goose Creek SC 29445-7269
Phone: (843) 553-4383
Fax: (843) 553-4384
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17955 | South Carolina |
Profile Details
NPI number | 1780636423 |
---|---|
LBN Legal business name | Sutterlin, John Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Jun 10th, 2021 - about 4 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 | 1780636423 | NPPES |
South Carolina | Other | 080187342 | RR MEDICARE |
South Carolina | MEDICAID | 179550 | RR MEDICARE |
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