Suttle, Richard W

Suttle, Richard W is an individual health care provider with primary practice located at 725 S Adams Rd #243, Birmingham MI 48009-6902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Suttle, Richard W can be contacted via phone (248) 220-1148.

Contact Information

Primary practice address
725 S Adams Rd #243 Birmingham MI 48009-6902
Phone: (248) 220-1148
Fax: (248) 220-1151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601001147 Michigan

Profile Details

NPI number 1083726681
LBN Legal business name Suttle, Richard W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 20th, 2010 - about 14 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 1083726681 NPPES
Michigan Other 5601001147 P.A.. LICENSE
Michigan Other 700H231390 P.A.. LICENSE

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