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
Fax: (843) 553-4384
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780636423 NPPES
South Carolina Other 080187342 RR MEDICARE
South Carolina MEDICAID 179550 RR MEDICARE

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