Sutterlin, Shawn A

Sutterlin, Shawn A is an individual health care provider with primary practice located at 2410 Susannah St , Johnson City TN 37601-1748. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sutterlin, Shawn A can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah St Johnson City TN 37601-1748
Phone: (423) 282-9011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000001123 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004367 Virginia

Profile Details

NPI number 1891750097
LBN Legal business name Sutterlin, Shawn A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 17th, 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 1891750097 NPPES
Tennessee MEDICAID 3662175
Tennessee MEDICAID 1517435
Tennessee MEDICAID 1891750097

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